Handy J E, Rose S C, Nieves A S, Johnson R L, Hunter J G, Miller F J
Department of Radiology, University of Utah Medical Center, Salt Lake City 84132.
Radiology. 1991 Oct;181(1):205-7. doi: 10.1148/radiology.181.1.1832231.
Intraoperative cholangiograms were obtained with portable fluoroscopy in 53 patients during laparoscopic cholecystectomy, and the images were transmitted to the radiology department. Each image was assessed for diagnostic quality and bile duct abnormalities (eg, retained stones and duct aberrancies). The aberrancy rate was 5.7% with the aberrant duct in the region of surgical dissection. The fluoroscopic technique provided diagnostic images with the advantage of real-time visualization, immediate communication with the surgeon, and the potential to decrease the risk of bile duct injury.
在53例患者行腹腔镜胆囊切除术期间,采用便携式荧光透视法进行术中胆管造影,并将图像传输至放射科。对每张图像的诊断质量和胆管异常情况(如残留结石和胆管变异)进行评估。变异率为5.7%,变异胆管位于手术解剖区域。荧光透视技术提供了具有实时可视化、与外科医生即时沟通以及降低胆管损伤风险潜力的诊断图像。