腹腔镜胆囊切除术前上消化道检查的必要性

Necessity of upper gastrointestinal examination before laparoscopic cholecystectomy

目的 :探讨腹腔镜胆囊切除术前行上消化道检查的必要性。方法 :对 1796例 5 0岁以上胆囊疾病患者行上消化道钡剂或电子胃镜检查。结果 :首次诊断胃癌 4例 ,占 0 2 2 % (4 1796 )。结论 :腹腔镜胆囊切除术前应常规行上消化道检查 ,以免遗漏需手术处理的腹腔内外科病变 ,如胃癌等 ,特别是胆囊结石症状不典型、贫血和年龄偏大者。

Objective:To explore the necessity of upper gastrointestinal examination before laparoscopic cholecys-tectomy.Methods:1796cases(more than50years old)suffered from cholecystopathies received barium double contrast upper gastrointestinal examination or endoscopic examination.Results:Four cases were diagnosed as gastric cancer.The positive rate was0.22%(4.1796).Conclusions:The preoperational upper gastrointestinal examination should be done routinely particularly to those elder,anemia,and untypical cholecystopathy.