Intraoperative fibrocholangioscopy: its significance & approach
- VernacularTitle:术中胆道镜检的价值及入路选择
- Author:
Jian CHEN
;
Zaitong WANG
;
Shuping TAN
- Publication Type:Journal Article
- Keywords:
Fibrocholangioscopy;
Approach
- From:
Chinese Journal of Digestive Endoscopy
2000;17(5):280-282
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveThe clinical significance and the approcach of inserting the scope werestudied. Methods148 patients underwent the examination in our hospital through October 1993 to De-cember 1998. The scope was put into biliary system via common bile duct (CBD) in 108 cases, cystic duct in20 and the confluence of the two in 26.Results Extrahepatic stones were found in 103 cases with totalextirpation, while the intrahepatic ones were removed in only 10 out of 18 cases( rate of residual stone =37.5% ). Biopsies were taken in 17 cases with a detection of biliary cancer (n = 5), CBD malignancy (n =8) and inflammatory change (n = 4).ConclusionThe application of intraoperative cholangioscopy offersready reduction of residual stone and correct diagnosis with biopsy. The scope can be passed through cysticduct, CBD or their junction, depending on real conditions.
