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The application of intraoperative cholangiography in laparoscopic cholecystectomy
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摘要: 目的探讨术中胆道造影(IOC)在腹腔镜胆囊切除术(LC)中的临床应用价值。方法回顾性分析2003年7月至2008年7月行LC病例442例,其中经ICO患者82例,占手术的18.4%。结果成功完成IOC 81例(97.5%)。发现胆总管结石13例(46.0%),胆囊管结石4例(4.9%),胆囊管汇入右肝管4例(4.8%),胆总管远段狭窄3例(3.7%),术中胆总管损伤1例(1.2%)。结论 LC中IOC对发现胆管结石的残留、及时发现胆管损伤、明确胆管解剖及变异均有帮助,值得在基层医院推广。Abstract: Objective To discuss the clinical applications of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC) .Methods Total of 442 patients receiving LC in the recent 5 years were analyzed retrospectively and ICO were was performed in 82 patients.Results IOC was successfully completed in 81 cases (97.5%) .13 patients (16.0%) were presented with common bile duct stones, 4 cases (4.9%) with cystic duct stones, 4 cases (4.8%) with cystic duct imported into the right hepatic duct, 3 cases (3.7%) with distal common bile duct stenosis, intraoperative bile duct injury occurred in just 1 case (1.2%) .Conclusion IOC in LC is helpful in finding the residue of bile duct stones, timely detection of bile duct injury, clearing bile duct anatomy and variation.It is worth popularizing in primary hospitals.
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Key words:
- cholecystectomy /
- laparoscopic
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