Hallenscheidt T, Dietz C, Fuhrmann C, Krämling H J
Chirurgische Klinik, Evangelisches Krankenhaus Düsseldorf.
Zentralbl Chir. 2000;125(2):183-5.
In our prospective study we wanted to prove whether the safety of laparoscopic treatment of acute cholecystitis could be improved by intraoperative cholangiography. From July 1993 to June 1998 210 patients with acute cholecystitis underwent a laparoscopic cholecystectomy. In 23 cases (10.9%) a conversion was necessary. 189 patients underwent a laparoscopic cholangiography. In 2 cases (1.1%) an incision of the common bile duct was detected which had been mistaken for the cystic duct. So the cutting of the common bile duct could be prevented. In 12 patients (6.3%) unknown common bile duct stones were found. The complication rate was 9.5% without any mortality or major injury of the common bile duct.
在我们的前瞻性研究中，我们想要证明术中胆管造影术是否能够提高急性胆囊炎腹腔镜治疗的安全性。从1993年7月至1998年6月，210例急性胆囊炎患者接受了腹腔镜胆囊切除术。其中23例（10.9%）需要中转开腹。189例患者接受了腹腔镜胆管造影术。发现2例（1.1%）胆总管被误认作胆囊管而切开，从而避免了胆总管的误切。12例（6.3%）发现了未知的胆总管结石。并发症发生率为9.5%，无死亡病例，也无胆总管的严重损伤。
