PDF下载 ( 1231 KB)
The value of selective intraoperative cholangiography in laparoscopic cholecystectomy
-
摘要: 目的探讨选择性术中胆道造影(PTC)在腹腔镜胆囊切除术(LC)中的应用价值。方法回顾分析35例行LC的患者在术中经胆囊管插管进行胆管造影的结果。结果 35例LC术中胆管造影均成功,术中发现胆总管结石4例,行腹腔镜胆道探查、T型管引流术。结论 LC术中胆管造影操作方便可行,显影清晰,成功率高,能发现术前未能发现的胆总管结石有效的降低胆管残石率,通过造影还可以排除胆道结石,避免阴性探查,减少患者痛苦,在复杂胆囊切除术中可帮助辨别解剖关系、发现解剖变异,避免术中胆管损伤,提高了LC手术的质量和安全性。Abstract: Objective To study the value of selective intraoperative cholangiography in laparoscopic cholecystectomy (LC) .Methods Clinical data of 35 patients with gallstone undertaken cholangiography and via cystic duct in laparoscopic cholecytectomy were analyzed retrospectively.Results Of the 35 suspected patients, only 4 were found to be positive by intraoperative cholangiography and the positive rate was 20.53 %.Only 7 underwent open cholecytectomy (OC) and residual stone rate were zero.Conclusion cholangiography and via cystic duct is benefical to reduce negative rate of common bile duct exploration, reduce pain, and has potential safeness in expansion of LC.Its application can reduce the rate of bile duct injury and improve the quality of LC.
-
Key words:
- cholecystectomy /
- laparoscopic
-
[1]黄志强.手术后胆管残石的过去、现状与对策[J].中国实用外科杂志, 2000, 20 (9) :516. [1]黄志强.手术后胆管残石的过去、现状与对策[J].中国实用外科杂志, 2000, 20 (9) :516. [2]尹思能, 李青亮, 张诗诚, 等.腹腔镜再次手术处理腹腔镜胆囊切除术后胆管残石[J].中华肝胆外科杂志, 2000, 6 (3) :213-214. [2]尹思能, 李青亮, 张诗诚, 等.腹腔镜再次手术处理腹腔镜胆囊切除术后胆管残石[J].中华肝胆外科杂志, 2000, 6 (3) :213-214. [3]黄耀全, 张宪文.天津自然人群胆石症发病率普查与胆石症易患因素的研究[J].天津医药, 1991, 19 (1) :20-24. [3]黄耀全, 张宪文.天津自然人群胆石症发病率普查与胆石症易患因素的研究[J].天津医药, 1991, 19 (1) :20-24. [4]陈方章, 谭定勇, 毛哓明, 等.选择性术中胆道造影在腹腔镜胆囊切除术中的应用[J].腹腔镜外科杂志, 2010, 15 (6) :438-446. [4]陈方章, 谭定勇, 毛哓明, 等.选择性术中胆道造影在腹腔镜胆囊切除术中的应用[J].腹腔镜外科杂志, 2010, 15 (6) :438-446. [5]姚明, 陈利民, 关克勤.术中胆道造影降低胆总管探查阴性率的体会[J].临床外科杂志, 2006, 14 (3) :191-192. [5]姚明, 陈利民, 关克勤.术中胆道造影降低胆总管探查阴性率的体会[J].临床外科杂志, 2006, 14 (3) :191-192. -
本文二维码
计量
- 文章访问数: 3555
- HTML全文浏览量: 15
- PDF下载量: 741
- 被引次数: 0
下载:
