Cociorvei A, Calu V
Catedra de Fiziopatologie şi Imunologie a U.M.E "Carol Davila", Spitalul Universitar de Urgenţă "Elias", Bucureşti, România.
Chirurgia (Bucur). 2011 May-Jun;106(3):353-8.
Laparoscopic ultrasound is an intraoperative exploration of the abdominal viscera using ultrasounds. The aim of this work is to obviate this new method of exploration and to underline its advantages and limits. In this study were enroled 65 pacients with gallbladder stones, admitted in The Surgical Clinic, "Elias" Emergency Hospital, from October 2005 until December 2006. The measured parameters were CBD size and the presence of stones or sludge within CBD, and various methods were compared: abdominal ultrasound, laparoscopic ultrasound and laparoscopic cholangiography. The results allowed us to consider that laparoscopic ultrasound is a useful tool for the intraoperative diagnosis of choledocolithiasis. When compared to laparoscopic cholangiography, our study revealed the same specificity and positive predictive value, and a sensitivity of 0.93.
腹腔镜超声是一种利用超声对腹腔脏器进行的术中探查。本研究的目的是介绍这种新的探查方法，并强调其优点和局限性。本研究纳入了2005年10月至2006年12月期间在“埃利亚斯”急诊医院外科诊所收治的65例胆囊结石患者。测量的参数包括胆总管直径以及胆总管内结石或胆泥的存在情况，并比较了各种方法：腹部超声、腹腔镜超声和腹腔镜胆管造影。结果使我们认为腹腔镜超声是术中诊断胆总管结石的有用工具。与腹腔镜胆管造影相比，我们的研究显示出相同的特异性和阳性预测值，敏感性为0.93。
