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术中胆管造影的意义及其在疑似十二指肠损伤中的应用——病例报告

Significance of intra-operative cholangiogram and its application in suspected duodenal injuries - Case report.

作者信息

Thomas Rebecca, Young Edward, Jayasena Warunika, Raju Smita Esther

机构信息

Division of Surgical Specialties & Anaesthetics, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia; The University of Adelaide, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia.

Division of Surgical Specialities and Anaesthetics, Flinders Hospital, Adelaide, South Australia, Australia.

出版信息

Int J Surg Case Rep. 2023 Jun;107:108386. doi: 10.1016/j.ijscr.2023.108386. Epub 2023 Jun 7.

DOI:10.1016/j.ijscr.2023.108386
PMID:37295243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10310912/
Abstract

INTRODUCTION AND IMPORTANCE

Intraoperative cholangiogram has always been a critical procedure that allows identification of biliary anatomy, thereby reducing the risks of bile duct injuries.

CASE PRESENTATION

We present a unique case where the intraoperative cholangiogram highlighted a suspected duodenal injury.

CLINICAL DISCUSSION

This case discusses the intraoperative steps taken to ensure there was no injury, highlight the importance of cholangiogram interpretation as a skill for all surgeons.

CONCLUSION

Intraoperative cholangiogram is a crucial procedure to highlight both biliary and non-biliary anatomy and can be used to identify duodenal injuries as was assessed in our case.

摘要

引言与重要性

术中胆管造影一直是一项关键操作,可用于识别胆道解剖结构,从而降低胆管损伤的风险。

病例展示

我们呈现了一个独特的病例,术中胆管造影显示出疑似十二指肠损伤。

临床讨论

本病例讨论了为确保无损伤而采取的术中步骤,强调了胆管造影解读作为所有外科医生必备技能的重要性。

结论

术中胆管造影是突出胆道和非胆道解剖结构的关键操作,如我们病例中所评估的,它可用于识别十二指肠损伤。

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