Lotz G W, Stahlschmidt M, Moergel K
Allgemeinchirurgische Abteilung, St. Vincenz, und Elisabeth-Hospital Mainz.
Chirurg. 1993 May;64(5):412-5.
Despite growing experience with laparoscopic cholecystectomy in up to now 1100 operations lesions of the bile ducts sometimes occur. We therefore decided to perform intraoperative cholangiography obligatorily and increased our rate of intraoperative X-ray control from 30% in the first 500 operations to 98.2% in the last 500 operations. The mean operation time in the radiography group was 44.8 min. After introduction of intraoperative cholangiography no bile duct lesions were encountered, but in 4.6% of all patients with this examination previously unknown choledocholithiasis was diagnosed.
尽管在多达1100例腹腔镜胆囊切除术方面经验不断积累，但胆管损伤有时仍会发生。因此，我们决定术中常规进行胆管造影，并将术中X线检查率从前500例手术中的30%提高到后500例手术中的98.2%。造影组的平均手术时间为44.8分钟。引入术中胆管造影后未出现胆管损伤，但在接受该检查的所有患者中，有4.6%被诊断出此前未知的胆总管结石。
