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腹腔镜胆囊切除术并术中胆管造影

Laparoscopic cholecystectomy with operative cholangiogram.

作者信息

Corbitt J D, Cantwell D V

机构信息

John F. Kennedy Medical Center, Atlantis, Florida.

出版信息

Surg Laparosc Endosc. 1991 Dec;1(4):229-32.

PMID:1669409
Abstract

Intraoperative cholangiography was successfully performed in 98% of 300 consecutive laparoscopic cholecystectomies, including 290 chronic, 44 acute, 33 fibrotic, 16 gangrenous, and 17 hydropsed cases. Unsuspected common duct stones were identified in 16 patients (4%). The presence of two surgeons and the ability of routine cholangiography to clarify the biliary anatomy produced excellent results with no injuries to the common duct in this series.

摘要

在连续300例腹腔镜胆囊切除术中,98%成功进行了术中胆管造影,其中包括290例慢性胆囊炎、44例急性胆囊炎、33例纤维化胆囊炎、16例坏疽性胆囊炎和17例胆囊积水病例。16例患者(4%)发现了意外的胆总管结石。本系列中,两名外科医生的参与以及常规胆管造影对胆道解剖结构的清晰显示取得了良好效果,无一例胆总管损伤。

相似文献

1
Laparoscopic cholecystectomy with operative cholangiogram.腹腔镜胆囊切除术并术中胆管造影
Surg Laparosc Endosc. 1991 Dec;1(4):229-32.
2
Laparoscopic cholecystectomy with operative cholangiogram.腹腔镜胆囊切除术并术中胆管造影
Surg Endosc. 1994 Apr;8(4):292-5. doi: 10.1007/BF00590955.
3
[Results of routine intraoperative cholangiography].[术中常规胆管造影结果]
Zentralbl Chir. 1999;124(11):1054-8.
4
Laparoscopic approach to common duct pathology.腹腔镜治疗胆总管病变的方法。
Surg Laparosc Endosc. 1991 Mar;1(1):33-41.
5
Selective cholangiography in laparoscopic cholecystectomy.腹腔镜胆囊切除术中的选择性胆管造影术。
Br J Surg. 1993 Feb;80(2):244-6. doi: 10.1002/bjs.1800800243.
6
Does routine cystic duct cholangiogram during laparoscopic cholecystectomy prevent common bile duct injury?腹腔镜胆囊切除术中常规进行胆囊管胆管造影能否预防胆总管损伤?
Surg Laparosc Endosc. 1993 Aug;3(4):290-5.
7
Common bile duct evaluation in the era of laparoscopic cholecystectomy. 1050 cases later.腹腔镜胆囊切除术时代的胆总管评估。1050例病例之后。
Ann Surg. 1994 Jun;219(6):744-50; discussion 750-2.
8
[Preoperative diagnosis of laparoscopic cholecystectomy. Is there an indication for routine intravenous cholangiography?].[腹腔镜胆囊切除术的术前诊断。常规静脉胆管造影有指征吗?]
Langenbecks Arch Chir. 1997;382(6):302-6.
9
The role of ERCP in patients after laparoscopic cholecystectomy.内镜逆行胰胆管造影术在腹腔镜胆囊切除术后患者中的作用。
Am J Gastroenterol. 1994 Sep;89(9):1523-7.
10
Justification for routine cholangiography during laparoscopic cholecystectomy.腹腔镜胆囊切除术期间常规胆管造影的理由。
Surg Laparosc Endosc. 1991 Jun;1(2):89-93.

引用本文的文献

1
Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis.腹腔镜胆囊切除术相关的死亡率和并发症。一项荟萃分析。
Ann Surg. 1996 Nov;224(5):609-20. doi: 10.1097/00000658-199611000-00005.
2
Current dilemmas in management of common duct stones.胆总管结石管理中的当前困境
Surg Endosc. 1993 Jul-Aug;7(4):285-91. doi: 10.1007/BF00725941.
3
Laparoscopic cholecystectomy in England and Wales: results of an audit by the Royal College of Surgeons of England.英格兰和威尔士的腹腔镜胆囊切除术:英国皇家外科医学院的一项审计结果
Ann R Coll Surg Engl. 1994 Jul;76(4):269-75.
4
A comparison of intraoperative ultrasound versus cholangiography in the evaluation of the common bile duct during laparoscopic cholecystectomy.腹腔镜胆囊切除术中术中超声与胆管造影在胆总管评估中的比较。
Surg Endosc. 1995 May;9(5):490-6. doi: 10.1007/BF00206833.
5
Laparoscopic choledochoscopy with a small-caliber endoscope. A safe and effective technique for laparoscopic common bile duct exploration.使用小口径内窥镜的腹腔镜胆管镜检查。一种用于腹腔镜胆总管探查的安全有效的技术。
Surg Endosc. 1995 Mar;9(3):293-6. doi: 10.1007/BF00187771.