Intraoperative diagnosis of bile duct injury by cholangiography during laparoscopic cholecystectomy
- VernacularTitle:术中胆道造影在腹腔镜胆囊切除术中发现胆道损伤的作用
- Author:
Libo LI
;
Xiujun CAI
;
Junda LI
- Publication Type:Journal Article
- Keywords:
Cholangiography;
Monitoring,intraoperative;
Wounds and injuries;
Cholecystectomy,laparoscopic
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo assess the value of intraoperative cholangiography(IOC) for detecting bile duct injury during laparoscopic cholecystectomy.Methods31 cases of bile duct injuries were reviewed regarding the site of injury,mechanism,time of diagnosis,and the place of IOC was evaluated.ResultsBile duct injuries resulted from misidentification in 19 cases.In 12 of these 19 cases,the diagnosis was made by IOC.Primary laparoscopic repair or open repair and T-tube drainage solved the problem without postoperative complications.However,in 3 of the above 19 cases the result of IOC was misinterpreted and in 4 of the above 19 cases IOC was not performed.Two of the 7 patients had aberrant bile duct injuries, in all of them the diagnoses were delayed.There were two cases in which bile duct injury developed after an IOC.ConclusionsCorrect interpretation of IOC enables detecting bile duct injury caused by intraoperatively misidentification and consequent morbidity.
