胆 道
1.If it the presence of jaundice the gallbladder is palpable, them the jaundice is unlikely to be due to stones.
—— Ludwig Courvoisier, 1843——1918
【译文】如果出现黄疸，胆囊可扪及，那么黄疸不太可能是由结石引起的。
【点评】这就是著名的courvoisier定律，但常常有例外。
2.Cholecystectomy should not be done as a rule unless the gallbladder is diseased.
—— Augustus Charles Bernays, 1854——1907
【译文】除非胆囊病变，否则不应随意切除。
3.The gallbladder should be removed not because it contains stones, but because it form them.
—— Carl Langenbuch, 1846——1901
【译文】切除胆囊不仅因为里面有结石，而是因为胆囊导致了结石的形成。
【点评】这可能是100多年来胆囊结石胆囊炎患者进行常规胆囊切除术最重要、最权威的理由。
4.Gallstones are not so harmless as was formerly thought.
—— Augustus Charles Bernays, 1854——1907
【译文】胆囊结石并不像以前认为的那么无害。
5.When the gallbladder is "difficult", go fundus down and stay near the wall.(https://www.daowen.com)
—— Moshe Schein
【译文】术中遇到困难胆囊，就从胆囊底部开始紧贴胆囊壁（向下分离）。
6.An intra-operative cholangiogram is a religion-not science.
—— Nathaniel J.Soper
【译文】术中做胆道造影是一种信仰而非科学。
7.HIDA scan with ejection fraction is widely used to select pts for cholecystectomy with suspected acalculous gallbladder disease, but there is no high-quality evidence to support the value of this approach.
—— David W.Hay
【译文】HIDA（肝胆亚氨基二乙酸）扫描胆汁排空分数测定被广泛用于疑似非结石胆囊炎患者的胆囊切除术筛选，但没有高质量的证据支持这一做法。
8.Severe complications and deaths after ERCP are heartbreaking.But what is tragic is that in many such cases-in retrospect-it is clear that the original procedure was not really necessary.
—— Moshe Schein
【译文】ERCP（经内镜逆行胰胆管造影）术后的严重并发症和死亡令人心碎。更可悲的是，许多此类病例，回头来看时，其手术显然并非真有必要。
【点评】ERCP医生的名言：越是没有指征的ERCP越容易出并发症。
9.Beware of the easy looking gallbladder and the overconfident surgeon.
【译文】当心那些看起来容易做的胆囊和过分自信的外科医生。