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。
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.
出处
《临床肝胆病杂志》
CAS
2011年第3期312-313,332,共3页
Journal of Clinical Hepatology
关键词
胆总管肿瘤
内窥镜检查
消化系统
common bile duct neoplasms
endoscopy
digestive system
