选择性术中胆道造影在腹腔镜胆囊切除术中的应用

VALUE OF SELECTIVE INTRAOPERATIVE CHOLANGIOGROPHY IN LAPAROSCOPIC CHOLECYSTECTOMY

目的 探讨对于有胆道相对探查指征的病人行腹腔镜胆囊切除术时术中胆道造影的应用价值。方法 对 112例腹腔镜胆囊切除术中经胆囊管胆道造影病人临床资料进行回顾性分析。结果 112例有相对胆道探查指征的病人行腹腔镜胆囊切除术时附加术中胆道造影阳性发现 2 3例 (2 0 . 5 3 % ) ,假阳性 1例 (0 . 89% ) ,中转开腹手术 7例 (6 .2 5 % ) ,没有胆道残余结石。结论 腹腔镜胆囊切除术中胆道造影可降低胆道阴性探查率 ,扩大腹腔镜胆囊切除术的手术适应证。

Objective To study the value of selective intraoperative cholangiography in laparoscopic cholecystectomy (LC). Methods Clinical date of 112 patients with gallstone undertaken cholangiography via cystic duct in Laparoscopic cholecytectomy were analyzed retrospectively. Rusults Of the 112 suspected patients, only 23 were found to be positive by intraoperative cholangiography and the positive rate was 20.53%. False positive rate was 0.89%(1 case). Only 7 underwent open cholecytectomy (OC), residual stone rate were zero. Conclusion Through cystic duct cholangiography is benefical to reduce negative rate of common bile duct exploration, and has potential effectiveness in expansion of LC.