Comparison of four kinds of cholangiographies in the prevention of bile duct injury during laparoscopic cholecystectomy
- VernacularTitle:四种胆管造影法在腹腔镜胆囊切除术中预防胆管损伤作用的比较
- Author:
Fang XU
;
Zhiyin LI
;
Chenggang XU
;
Dezheng XU
- Publication Type:Journal Article
- Keywords:
Cholecystectomy, laparoscopic;
Wounds and injuries;
Cholangiopancreatography, endoscopic retrograde
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective The efficacies of four cholangiogrphies were compaired with each other in preventing bile duct injury during the procedure of LC. Methods Four cholangiogrphies were used in LC:1. Cold light cholangiography (CLCP); 2. Methylenum coeruleum cholangioguaphy (MCCP); 3. Intraoperative cholangiography (IOCP); 4. Intraoperative endoscopic retrogarde cholangiopancreatography (IERCP). Results The images of CLCP and MCCP were direct and could help operator to identify bile duct structure in LC. The images of IPCP and IERCP were indirect and could not be so helpful. Conclusions CLCP is the only technique that clearly and directly shows the location of the extra hepatic biliary system and may be useful in selected cases with abnormal or uncertain anatomy for the prevention of bile duct injury.