Clinical application value of laparoscopic intraoperative cholangiography in laparoscopic cholecystectomy
10.3760/cma.j.issn.1008-6706.2015.07.012
- VernacularTitle:腹腔镜术中胆道造影在腹腔镜胆囊切除术中的应用价值
- Author:
Feng CEN
;
Qiang YAN
;
Guolei ZHANG
;
Jun NI
;
Yunhai WEI
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Cholecystectomy;
Cholangiography;
Complication
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(7):996-998
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application value of the laparoscopic intraoperative cholan-giography in laparoscopic cholecystectomy,and summarize the experience.Methods The clinical data of 169 cases of laparoscopic cholecystectomy intraoperative cholangiography were analyzed retrospectively.Results 169 patients were successfully completed,131 cases recovered well and no complications occurred after operation.29 patients showed hyperamylasemia,of which 3 patients had intractable hyperamylasemia,8 patients complicated with secondary acute pancreatitis,with fasting,gastrointestinal decompression,enzyme inhibition(plus somatostatin)and acid,analgesic, anti infection,rehydration treatment after remission.Conclusion Laparoscopic cholecystectomy intraoperative cholan-giography is a safe and reliable diagnostic technique,on the occurrence of biliary residual stones in prevention of post-operative prevention and timely detection of bile duct injury during operation and improves the success rate of repair of bile duct injury has important clinical value;control adaptation of intraoperative cholangiography has important clinical significance of reasonable application license.
