Piazza D, Caruso F, Marino M, Ferrara M, Castiglione G
Dipartimento di Chirurgia, Università degli Studi di Catania.
G Chir. 1998 Oct;19(10):405-7.
The authors report their experience with 850 consecutive laparoscopic cholecystectomies performed from May 1990 to July 1997. In this series, despite a sporadic use of intraoperative cholangiography (IOC), there were no lesions of main biliary tract and there was only a biliary leaking cystic duct resolved with conservative treatment. The authors are satisfied with selective use of endoscopic cholangiography and sphincterotomy for the management of choledocholithiasis, and conclude that the use of IOC is not so essential to avoid iatrogenic lesions of main biliary tract, that could be avoid by applying a meticulous operative technique.
作者报告了他们在1990年5月至1997年7月期间连续进行的850例腹腔镜胆囊切除术的经验。在该系列中，尽管偶尔使用术中胆管造影（IOC），但主胆管未发现病变，仅出现1例胆囊管胆漏，经保守治疗后痊愈。作者对选择性使用内镜胆管造影和括约肌切开术治疗胆总管结石感到满意，并得出结论，IOC对于避免主胆管的医源性损伤并非必不可少，通过采用细致的手术技术可以避免此类损伤。
