Department of Surgery, 24520Novant Health New Hanover Regional Medical Center, Wilmington, NC, USA.
Am Surg. 2022 Sep;88(9):2261-2262. doi: 10.1177/00031348221091950. Epub 2022 Jun 12.
Intraoperative cholangiogram (IOC) is a useful tool for surgeons to assess anatomy of the biliary tree and diagnose biliary pathology. Many surgeons utilize cholangiography in most cases in hopes of preventing ductal injuries and are deemed routine cholangiographers. There is little data on the success rate and reasons why IOC is not performed. The purpose of this study was to evaluate the use of routine cholangiography and to determine reasons why cholangiography was not performed. 693 cholecystectomies were analyzed. Intraoperative cholangiogram was attempted in 553 (79.8%) of these cases. The success rate of performing cholangiograms in those attempted was 93.3%. Intraoperative cholangiogram was not attempted in 140 patients (20.2%) for various reasons. Although many surgeons consider themselves routine cholangiographers, there are times when IOC is not feasible. Knowledge of these reasons may help clarify indications for IOC. For most cases, routine cholangiography appears to be feasible.
术中胆管造影术（IOC）是外科医生评估胆道解剖结构和诊断胆道病变的有用工具。许多外科医生在大多数情况下都使用胆管造影术，希望能预防胆管损伤，并被认为是常规胆管造影师。关于 IOC 未进行的成功率和原因的数据很少。本研究旨在评估常规胆管造影术的应用，并确定未进行胆管造影术的原因。分析了 693 例胆囊切除术。在这些病例中，有 553 例（79.8%）尝试进行术中胆管造影术。在尝试进行胆管造影术的患者中，成功率为 93.3%。由于各种原因，有 140 例患者（20.2%）未尝试进行术中胆管造影术。尽管许多外科医生认为自己是常规胆管造影师，但有时 IOC 并不可行。了解这些原因可能有助于阐明 IOC 的适应症。对于大多数病例，常规胆管造影术似乎是可行的。
