术中胆道镜在发现和诊断胆管下段肿瘤中的价值

李宇; 韩威; 郭伟; 金岚; 李建设; 张忠涛

术中胆道镜在发现和诊断胆管下段肿瘤中的价值

首都医科大学附属北京友谊医院普外科

详细信息

中图分类号: R657.4
计量
- 文章访问数: 2523
- HTML全文浏览量: 11
- PDF下载量: 733
- 被引次数: 0
出版历程
- 出版日期: 2011-03-20

The value of intra-operative cholangioscopy on finding and diagnosing distal bile duct tumor

摘要

摘要: 目的探讨术中胆道镜在发现和诊断胆总管下段肿瘤中的价值。方法回顾自2005年来术中胆道镜诊断术前未能发现的胆总管下端肿瘤的典型病例。结果 4例患者均使用术中胆道镜发现和诊断了胆管下段肿瘤,避免了漏诊,并及时采取胰十二指肠切除术治疗。结论术中胆道镜可弥补术前各种影像学的不足,发现和诊断同时合并的胆总管下段肿瘤,对有胆道探查指征者,推荐使用术中胆道镜探查。
- 胆总管肿瘤 /
- 内窥镜检查,消化系统
Abstract: Objective Discuss the value of intra-operative cholangioscopy on finding and diagnosticating distal bile duct tumor.Methods Review the classic cases which were diagnosticated distal bile duct tumors by intra-operative cholangioscopy since 2005.Results 4 cases were diagnosticated distal bile duct tumors by intra-operative cholangioscopy, voided wrong diagnosis, and all the cases had pancreatoduodenectomy in time.Conclusion Intra-operative cholangioscopy can make up for the defects of different pre-operative imaging evaluations, find and diagnosticate the coexistent distal bile duct tumors.We recommend that intra-operative cholangioscopy should be used in the patients who have the common bile duct exploration indications.
- common bile duct neoplasms /
- endoscopy

HTML全文

参考文献(11)

[1]韩威, 张忠涛, 李建设, 等, 腹腔镜经胆囊管胆总管探查术的临床应用体会[J].腹腔镜外科杂志, 2009, 14 (11) :843-845.

[2]Cha JM, Kim MH, Jang SJ.Early bile duct cancer[J].World J Gastroenterol, 2007, 13 (25) :3409-3416.

[3]Lamerz R.Role of tumour markers, cytogenetics[J].Ann Oncol, 1999, 10 (Suppl 4) :145-149.

[4]Sharma MP, Ahuja V.Aetiological spectrum of obstructive jaundice and diagnostic ability of ultrasonography:a clinician's perspective[J].Trop Gastroenterol, 1999, 20 (4) :167-169.

[5]Watadani T, Akahane M, Yoshikawa T, et al.Preoperative assessment of hilar cholangiocarcinoma using multidetector-row CT:correlation with histopathological findings[J].Radiat Med, 2008, 26 (7) :402-407.

[6]Garrow D, Miller S, Sinha D, et al.Endoscopic ultrasound:a meta-analysis of test performance in suspected biliary obstruction[J].Clin Gastroenterol Hepatol, 2007, 5 (5) :616-623.

[7]Ebata T, Watanabe H, Ajioka Y, et al.Pathological appraisal of lines of resection for bile duct carcinoma[J].Br J Surg, 2002, 89 (10) :1260-1267.

[8]Nimura Y, Kamiya J.Cholangioscopy[J].Endoscopy, 1996, 28:138-146.

[9]Nimura Y.Staging cholangiocarcinoma by cholangiosco-py[J].HPB, 2008, 10 (2) :113-115.

[10]吴一武, 梁建深, 扬志伟, 等.电子胆道镜在胆道疾病诊治中的应用[J].中国内镜杂志, 2007, 17 (7) :777-779.

[11]宋树楼, 武杨.胆道手术中常规应用胆道镜的临床意义[J].中国普外基础与临床杂志, 2010, 17 (4) :368-371.

施引文献

资源附件(0)

访问统计