Preoperative Evaluation on Calot’s Triangle Adhesion by Magnetic Resonance Cholangiopancreatography
- VernacularTitle:磁共振胆胰管成像对胆囊三角粘连的术前评估
- Author:
Rongxun SUN
1
;
Jiang CHEN
;
Xuesheng JI
;
Jingtian LIU
;
Dawei ZHANG
;
Guangbin WU
;
Xiaoyan LI
;
Peilong SUN
Author Information
1. 复旦大学附属金山医院普外科
- Keywords:
Magnetic resonance cholangiopancreatography;
Laparoscopic cholecystectomy;
Calot’s triangle;
Adhesion
- From:
Chinese Journal of Clinical Medicine
2014;(5):570-571
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of magnetic resonance cholangiopancreatography(MRCP)in the evaluation on Calot’s triangle adhesion before laparoscopic cholecystectomy(LC).Methods:A total of 254 patients received MRCP before LC,and the type of Calot’s triangle adhesion was evaluated,which included whether or not the cystic duct had been displayed, adjacent relations between the cystic duct and the gallbladder ampulla,and the open position of the cystic duct in the gallbladder ampulla.The type of Calot’s triangle adhesion by preoperative evaluation was compared with that by intraoperative findings. The relation between the type by preoperative evaluation and the difficulty of operation was analyzed.Results:The type of Cal-ot’s triangle adhesion by preoperative MRCP corresponded with that by intraoperative findings.The rabbit tail type of adjacent relation between the cystic duct and the gallbladder ampulla,the cystic duct starting at the middle portion of the gallbladder am-pulla and the absent imaging of cystic duct could indicate difficult LC procedures.Conclusions:MRCP could be used in preoper-ative evaluation on Calot’s triangle adhesion,to predict the difficulty degree of the LC procedure.
