腹腔镜经胆囊管胆道造影的临床价值

Clinical value of cholangiography via cystic duct in laparoscopic cholecystectomy

目的 探讨腹腔镜胆囊切除术中经胆囊管胆道造影在胆石症病人中的临床应用价值。方法 通过对 1 2 6例腹腔镜胆囊切除术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 发现在有胆道相对探查指征的病人经胆囊管胆道造影的阴性率为 91 % ,术后胆道残石率和胆道损伤率为零。结论 腹腔镜术中经胆囊管胆道造影可降低胆道阴性探查率 ,避免不必要的胆道探查 ,防止胆道残留结石和胆道损伤发生。

Objective To determine the clinical value of intraoperative cholangiography via cystic duct in laparoscopic cholecystectomy. Methods Clinical data of 126 patients with gallstone undertaken cholangiography via cystic duct in laparoscopic cholecystectomy were analyzed retrospectively. Results In patients with relative common bile duct (CBD) exploration indications, negative rate of stone was 91% with intraoperative cholangiography via cystic duct, residual stone rate and lesions of CBD rate were postoperatively zero in patients receiving intraoperative cholangiography. Conclusion Via cystic duct cholangiography during laparoscopic cholecystectomy is beneficial to reducing negative rate of CBD exploration and avoiding unnecessary CBD exploration. Meanwhile, it is a good measure for reducing residual stone rate and biliary duct injury after operation.