腹腔镜胆囊切除术中超声检查和胆管造影对胆道的评估：一项前瞻性研究。

Assessment of the biliary tract by ultrasonography and cholangiography during laparoscopic cholecystectomy: a prospective study.

作者信息

Rijna H, Eijsbouts Q A, Barkhof F, de Brauw L M, Cuesta M A

机构信息

Vrije Universiteit Hospital, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.

出版信息

Eur J Ultrasound. 1999 May;9(2):127-33. doi: 10.1016/s0929-8266(99)00018-x.

DOI:10.1016/s0929-8266(99)00018-x

PMID:10413748

Abstract

OBJECTIVE

The introduction of laparoscopic cholecystectomy (Lap-chol) has induced routine cholangiography to map the biliary tree and identify common bile duct (CBD) stones. However, the use of more selective criteria for performing intraoperative cholangiography (IOC), drawbacks of IOC and experience with laparoscopic ultrasonography (LU) re-introduced intraoperative ultrasonography for the CBD. The purpose of this study was to compare the accuracy of LU and IOC to identify the anatomy of the CBD and the presence of stones.

METHODS

A total of 50 unselected patients undergoing elective laparoscopic cholecystectomy were evaluated by LU and IOC. Stones were found in three patients by IOC and could be confirmed by ultrasonography and CBD exploration in two.

RESULTS

Anatomic definition of the biliary tract and success of the procedure was better for LU (90 and 98%) than IOC (86 and 72%).

CONCLUSION

For Surgical groups with experience in LU this technique appears to become the standard technique to identify the anatomy of the CBD and assessment of CBD stones.

摘要

目的

腹腔镜胆囊切除术（Lap-chol）的引入促使常规胆管造影用于描绘胆管树并识别胆总管（CBD）结石。然而，采用更具选择性的标准进行术中胆管造影（IOC）、IOC的缺点以及腹腔镜超声检查（LU）的经验重新引入了用于胆总管的术中超声检查。本研究的目的是比较LU和IOC识别胆总管解剖结构和结石存在情况的准确性。