术中胆道造影在小切口胆囊切除术中的临床价值

Clinical evaluation of intraoperative cholangiography in minicholecystectomy

目的探讨术中胆道造影（IOC）在小切口胆囊切除术（MC）中的临床应用价值。方法对1992—2006年在小切口胆囊切除术中行胆道造影506例的临床资料进行回顾性分析。结果造影成功493例，成功率97．4％，术中发现胆道结石49例，胆管变异4例，胆道损伤4例，扩大切口16例。结论术中胆道造影在小切口胆囊切除术中可防止术后胆管残石发生，避免不必要胆管探查，减少扩大切口的机会，明确胆管变异，预防并及时发现胆管损伤，降低MC并发症，提高MC质量，有较高的临床应用价值。

Objective To determine the clinical value of intraoperative cholangiography in minicholeeystectomy. Methods The clinical data of 506 patients receiving intraoperative eholangiography in minicholecystectomy from 1992 to 2006 in our hospital were analyzed retrospectively. Results Intraoperative cholangiography was successfully completed in 493 patients. The success rate was 97.4 %. Stones in the bile duct in 49 patients,abnormal bile duct in 4 patients and bile duct injury in 4 patient were found. The cuts were extended in 16 patients. Conclusion Intraoperative eholangiography is of great value in inducing postoperative complications and improving the quality of MC. Therefore, it can be used to prevent residual stone after operation, avoid bile duct exploration or injury, decrease the chance of extending the cut and make sure of abnormal bile duct.