Mosnier H, Roullet-Audy J C, Sbai Idrissi M S, Guivarc'h M
Service de Chirurgie Digestive, Hôpital Foch, Suresnes.
Chirurgie. 1992;118(3):171-4; discussion 174-6.
The aim of this study was to assess the ease and the success of a laparoscopic technique of cholangiography. Following an initial period of training to gain expertise in laparoscopic surgery, 70 patients were included in the study. Six of them had a history of suggestive choledocholithiasis. Intraoperative cholangiography was performed using an angled catheter (Judkins) and a specific tubular cannula (Olsen, Storz) designed to guide and maintain the catheter in the cystic duct. Catheterization of the cystic duct and cholangiography were achieved in 61 patients. In 3 cases, stones were found in the common bile duct. The mean duration of the examination was 11 minutes (6.21). Cholecystectomy was performed after cholangiography. No biliary injuries were observed. These results show that intraoperative laparoscopic cholangiography is easy and not time-consuming. It obviates the need for preoperative investigations looking for biliary stones and provides an excellent definition of the biliary anatomy for safety purposes.
本研究的目的是评估一种腹腔镜胆管造影技术的简便性和成功率。在经过一段初始培训以获得腹腔镜手术专业技能后，70例患者被纳入研究。其中6例有提示胆总管结石的病史。术中胆管造影使用成角导管（Judkins）和专门设计用于将导管引导并维持在胆囊管内的特定管状套管（Olsen，史托斯）进行。61例患者成功完成了胆囊管插管和胆管造影。3例患者在胆总管中发现结石。检查的平均时长为11分钟（6.21）。胆管造影后进行了胆囊切除术。未观察到胆管损伤。这些结果表明，术中腹腔镜胆管造影操作简便且不耗时。它无需术前进行寻找胆石的检查，并且为安全起见能很好地显示胆管解剖结构。
