西南国防医药2013，Vol.23Issue(5)：488-490,3.DOI:10.3969/j.issn.1004-0188.2013.05.009
术中胆道造影在腹腔镜手术治疗胆囊管结石中的应用
Application of intraoperative cholangiograhy to laparoscopic surgery for calculus of cystic duct
邓小明 1陈焱 1孙海 1张丰深 1吴国栋 1李志强 1陈宇欣1
作者信息
摘要
Abstract
Objective To investigate the application of intraoperative cholangiograhy( IOC )to laparoscopic surgery for calculus of cystic duct. Methods A retrospective analysis was made in the clinical data of 74 patients with calculus of cystic duct who received laparoscopic cholecystectomy( LC )and IOC. Results Sixty eight cases underwent LC successfully, and 6 ones got conversion to the open surgery. Visualization was successfully completed in 72 cases, and the success rate was 97. 3%. Biliary tract was flushed in 14 cases before IOC. Stones remained in cystic duct were found in 2 cases. There were 5 cases of Mirizzi syndrome, 6 cases of choledocholithiasis. Biliary tract was decompressed by imaging tube in 4 cases after the visualization. During the operation, lateral wall avulsion of common bile duct was observed in one case. The visualization indicated and common bile duct-portal vein fistula occurred in one case. Conclusion During the procedure of laparoscopic operation for calculus of cystic duct, IOC helps to discover the trend of cystic duct and the length of the remnant duct and identify the diagnosed of Mirizzi syndrome and choledocholithiasis. Biliary tract can be flushed via the visualization tube during the operation. After the operation, the detainment of the imaging tube for the decompression of the biliary tract may provide guidance for ERCP intubation in stage Ⅱ stone removal.关键词
胆囊管结石/腹腔镜胆囊切除术/术中胆道造影Key words
calculus of cystic duct/laparoscopic cholecystectomy/intraoperative cholangiography分类
医药卫生引用本文复制引用
邓小明,陈焱,孙海,张丰深,吴国栋,李志强,陈宇欣..术中胆道造影在腹腔镜手术治疗胆囊管结石中的应用 [J].西南国防医药,2013,23(5):488-490,3.
