摘要
目的 :探讨术中胆道造影在腹腔镜胆囊切除术 (LC)中应用的临床价值。方法 :回顾总结 6 7例LC术中行胆道造影的技术要点。结果 :LC术中行胆道造影 6 7例 ,发现胆管结石 19例 ,近端胆囊管小结石 1例 ,乳头部狭窄 1例 ,胆道畸形 2例 ,假阳性 3例 ,准确率 95 5 %。结论 :有选择的在LC中胆道造影可以避免胆管残留结石及胆囊管残株结石 ,减少不必要的胆管阴性探查 ,发现乳头部狭窄 ,辨明胆道解剖 ,避免胆道损伤。
Objective: To investigate the role of intraoperative cholangiography in laparoscopic cholecystectomy(LC) Methods: The technique of the intraoperative cholangiography in LC was studied in 67 cases Results: The intraoperative cholangiography showed stones in the common bile duct in 19 patients, small stones in proximal end of cystic duct in 1 patient, stenosis of papilla in 1 patient, biliary duct malformation in 2 patients, false positive in 3 patients The accurate rate was 95 5% Conclusions:By the selective intraoperative cholangiography in LC, the residual stone in biliary tract and in residual end of cystic duct,unnecessary negative exploratory for the common bile duct would be reduced, stenosis of papilla would be found , anatomy of biliary tract would be determined, so bile duct injury would be avoided
出处
《腹腔镜外科杂志》
2002年第3期134-136,共3页
Journal of Laparoscopic Surgery
