腹腔镜下经胆囊管造影在胆道结石中的应用

The clinical application of intraoperative cholangiography in laparoscopic cholecysctomy

目的探讨腹腔镜胆囊切除术(LC)中胆管造影在胆道结石中的临床应用价值。方法回顾分析1999年1月至2009年1月在腹腔镜胆囊切除术中经胆囊管插管行胆管造影的203例患者的临床资料。结果造影成功200例,成功率为98.5%,术中发现胆总管结石38例,胆管变异4例,胆总管损伤1例。结论 LC中胆管造影可防止术后胆管残石的发生,避免不必要的胆管探查,明确胆管解剖及变异,预防并及时发现胆管损伤,降低了并发症,提高了质量,有较高的临床应用价值。

Objective To explore the clinical value of intraoperative eholangiography in laparoseopie cholecystectomy（LC）.Methods The clinical data of 203 cases receiving intraoperative eholangiography in laparoseopie cholecystectomy from Jan.1999 to Jan.2009 were analyzed retrospectively.Results Cholangiography was performed in 203 patients,and was sueessfully completed in 200 patients.The success rate was 98.5%.38 cases of common bile duct,4 cases of abnormal bile duct,and 1 case of bile duct injury were found.Conclusion Intraopefative cholangiography in laparoseopie cholecystectomy is of high clinical value that decreases the post operative complications and improve the quality in LC,which can prevent residual calculi after operation as well as avert bile duct exploration or injury and make sure of abnormal bile duct.