Spinnato G, Currò E A, Pagano A, Buffa P, Buscemi G
Istituto di Chirurgia Generale e Trapianti d'Organo, Università degli Studi, Palermo.
Minerva Chir. 1995 Jul-Aug;50(7-8):633-6.
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%.
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。