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[腹腔镜胆囊切除术中的术中胆管造影。我们的经验]

[Intraoperative cholangiography in laparoscopic cholecystectomy. Our experience].

作者信息

Spinnato G, Currò E A, Pagano A, Buffa P, Buscemi G

机构信息

Istituto di Chirurgia Generale e Trapianti d'Organo, Università degli Studi, Palermo.

出版信息

Minerva Chir. 1995 Jul-Aug;50(7-8):633-6.

PMID:8532195
Abstract

Cholangiography during conventional cholecystectomy has always been useful for anatomo-topographic study and for research of the stones of biliary tree. After a natural period of training the authors included the easy technique of cholangiography in laparoscopic cholecystectomy. The study was performed in 13 patients using Olsen's cannula with an internal a normal catheter for cholangiography. The catheterization of the cystic duct was performed in 85% of cases (11 patients), in the other 15% (2 patients) it was not possible to cannulate the cystic duct. Non complication. The mean duration of the study was 14 minutes. The authors describe the technique and conclude, after a brief discussion of the reports in the literature and personal experience, that peroperative cholangiography is an easy and safe procedure without risk and prevents the injuries to the biliary tract whose incidence is about 1.3%.

摘要

传统胆囊切除术期间的胆管造影术一直对解剖学地形学研究以及胆管树结石的研究很有用。经过一段自然的培训期后,作者将简便的胆管造影技术纳入了腹腔镜胆囊切除术。该研究对13例患者进行,使用带有用于胆管造影的内置普通导管的奥尔森套管。85%的病例(11例患者)成功进行了胆囊管插管,另外15%(2例患者)无法对胆囊管进行插管。无并发症发生。研究的平均持续时间为14分钟。作者描述了该技术,并在对文献报道和个人经验进行简要讨论后得出结论,术中胆管造影是一种简便、安全且无风险的操作,可预防发生率约为1.3%的胆道损伤。

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1
[Intraoperative cholangiography in laparoscopic cholecystectomy. Our experience].[腹腔镜胆囊切除术中的术中胆管造影。我们的经验]
Minerva Chir. 1995 Jul-Aug;50(7-8):633-6.
2
[The intraoperative cholangiography during videolaparoscopic cholecystectomy. What is its role? Results of a non randomized study].[视频腹腔镜胆囊切除术中的术中胆管造影。其作用是什么?一项非随机研究的结果]
Ann Ital Chir. 2007 Mar-Apr;78(2):85-9.
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[Peroperative cholangiography during laparoscopic cholecystectomy].[腹腔镜胆囊切除术中的术中胆管造影]
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Single-step treatment of gall bladder and bile duct stones: a combined endoscopic-laparoscopic technique.胆囊和胆管结石的单步治疗:一种内镜-腹腔镜联合技术。
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Usefulness of both operative cholangiography and conversion to decrease major bile duct injuries during laparoscopic cholecystectomy.术中胆管造影及中转操作在减少腹腔镜胆囊切除术中主要胆管损伤方面的作用。
J Hepatobiliary Pancreat Surg. 2004;11(3):171-5. doi: 10.1007/s00534-003-0884-1.
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Value of routine intraoperative cholangiography in detecting aberrant bile ducts and bile duct injuries during laparoscopic cholecystectomy.常规术中胆管造影在腹腔镜胆囊切除术中检测异常胆管和胆管损伤的价值。
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Intravenous cholangiography before 1000 consecutive laparoscopic cholecystectomies.1000例连续腹腔镜胆囊切除术之前的静脉胆管造影。
Br J Surg. 1997 Apr;84(4):472-6.
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Selective intraoperative cholangiography during laparoscopic cholecystectomy: how selective?腹腔镜胆囊切除术中的选择性术中胆管造影:选择性如何?
Am Surg. 2000 Jul;66(7):616-8.
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Laparoscopic cholecystectomy by ultrasonic dissection without cystic duct and artery ligature.不结扎胆囊管和胆囊动脉的超声刀腹腔镜胆囊切除术
Surg Endosc. 2003 Mar;17(3):442-51. doi: 10.1007/s00464-002-9068-3. Epub 2002 Oct 29.
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[Laparoscopic cholecystectomy and lithiasis of the common bile duct: prospective study on the importance of preoperative endoscopic ultrasonography and endoscopic retrograde cholangiography].[腹腔镜胆囊切除术与胆总管结石:关于术前内镜超声检查和内镜逆行胰胆管造影重要性的前瞻性研究]
Gastroenterol Clin Biol. 1998 Oct;22(10):759-65.