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1. 重庆医科大学附属第二医院肝胆外科
2. 重庆医科大学附属第二医院肝胆外科,重庆,400010
纸质出版日期:2005,
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[1]吴传新,龚建平,刘长安,李生伟.选择性应用术中胆道造影在腹腔镜胆囊切除术中的价值[J].重庆医科大学学报,2005(05):61-63.
WU Chuanxin, et al. The significance of intraoperative cholangiography in laparoscopic cholecystectomy[J]. Journal of Chongqing Medical University, 2005,(5).
[1]吴传新,龚建平,刘长安,李生伟.选择性应用术中胆道造影在腹腔镜胆囊切除术中的价值[J].重庆医科大学学报,2005(05):61-63. DOI: 10.13406/j.cnki.cyxb.2005.05.016.
WU Chuanxin, et al. The significance of intraoperative cholangiography in laparoscopic cholecystectomy[J]. Journal of Chongqing Medical University, 2005,(5). DOI: 10.13406/j.cnki.cyxb.2005.05.016.
目的:探讨在腹腔镜胆囊切除术中经胆囊管胆道造影的价值。方法:分析56例因慢性结石性胆囊炎、急性结石性胆囊炎、胆源性胰腺炎行LC患者
在术中经胆囊管插管行胆道造影的结果。结果:56例LC术中胆道造影
插管成功54例
成功率为96.4%
54例均显影满意
显影率100%。术中造影发现胆总管结石5例
2例经中转开腹胆总管切开探查证实
3例行腹腔镜胆总管切开探查、胆道镜检查证实;发现胆道变异2例。4例因术中胆囊三角解剖结构不清楚
无法分清胆囊管和胆总管而行术中胆道造影。造影平均时间为(15.5±3.7)min。无并发症发生。结论:LC术中胆道造影操作简便安全
显影清晰
成功率高
能发现术前未能发现的胆总管结石、胆囊管结石及胆道解剖变异
能有效地降低胆道残余结石和胆管损伤的发生率
及时发现胆道损伤
提高LC手术的质量和安全性。
Objective:To evaluate the value of intraoperative transcystic cholangiography(IOC) during laparoscopic cholecystectomy(LC).Methods:IOC was conducted in 56 patients who underwent LC because of cholelithiasis with chronic or acute cholecystitis and biliary pancreatitis.The results were analyzed.Results:Cannulation was successfully completed in 54 out of 56 patients
and the success rate was 96.4%.All 54 patients underwent satisfactory visualization.The common bile duct stones were detected in 5 patients by IOC
and 2 of them were converted to common bile duct exploration and T-tube drainage by open cholecystectomy;3 of them were converted to common bile duct exploration and T-tube drainage by laparoscopic cholecystectomy.2 cases were found to have abnormal cystic duct by IOC
and 4 cases were detected for the biliary anatomy by IOC.The average time of IOC was about(15.5±3.7)minutes.No complication occurred.Conclusion:IOC is a safe and convenient procedure with a high success rate
and it can provide clear films of biliary tree.The benefit of IOC is the detection of common bile duct and cystic duct stones and abnormal biliary anatomy.It can reduce the rate of retained common bile duct stones and bile duct injuries
and increase the early identification of bile duct injuries.Therefore IOC can improve quality and security of LC.
腹腔镜胆囊切除术术中胆道造影胆道损伤残余结石
Laparoscopic cholecystectomy(LC)Bile duct injuryRetained stonesIntraoperative cholangiography(IOC)
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