Clinical application of intraoperative cholangiography in laparoscopic cholecystectomy
10.11659/jjssx.1672-5042.201306027
- VernacularTitle:胆道造影检查在腹腔镜胆囊切除术中的应用
- Author:
Hao XIE
;
Hao LONG
;
Zhengwei SONG
;
Xiuhong LI
;
Tianfu YANG
;
Qineng ZHANG
- Publication Type:Journal Article
- Keywords:
laparoscopic cholecystectomy;
intraoperative cholangiography;
biliary duct injury;
common bile duct calculi;
exploration of common bile duct
- From:
Journal of Regional Anatomy and Operative Surgery
2013;(6):645-646,649
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of intraoperative cholangiography( IOC) by cystic duct during laparoscopic chol-ecystectomy( LC) . Methods The clinical data of 58 patients with LC received intraoperative cholangiography by cystic duct were analyzed retrospectively. Results In this group,Successful treatment of 55 cases(94. 83%),failed in 3 cases(5. 17%),no common bile duct calculi in 50 cases(90. 91%),small common bile duct calculi(0. 4 cm) in 5 cases(9. 09%). Among them 4 cases were received common bile duct exploration via laparotomy,1 case treated by laparoscopic transcystic biliary calculus extraction with Dormia basket. The cystic duct drained into the right hepatic duct in 1 patient. In all the cases,no bile duct injury,residual choledocholith,bile leakage,intra-abdominal infection and IOC related complications. Conclusion IOC during LC is simple and easy,with high success rate and good development effect,which can promptly discover the anatomical variations of biliary tract. It has important clinical application value to reduce biliary negative exploration,in-traoperative injury of biliary tract and postoperative common bile duct residual stone in basic hospital.
