| Abstract: | This paper reports 163 cases of intra- and ex-trahepatic choledocholithiasis treatetZ by uono-pcrative general attack therapy (OAT) usingcomhined traditinnal Chinese and WeSteru me-dicine from 1971 t0 1976. The result.s Were encouraging in 70% of the cases. Stones expcllcdwere found in the stool or loss of stone shadowswas recorded on cholangjograms in 64.4%, and in2ff1671 the X-ray stone shadow disappeared aftertreatment. Indications for CAT include ductal stonesaround l cm in transverse diameter, cxtensiveintrahepatic stones and postOPerative residualstones. The mechanism of stone expulsiou byGAT is discussied on the basis of both clinicaland laboratory studies. Factors that may in-fluence clinical GAT resuIts are also discussecl. |
