腹腔镜超声在胆道外科手术中的应用

The application of laparoscopic ultrasound in biliary surgery

腹腔镜超声(LUS)结合了超声探查和腹腔镜技术的优势,有较高的分辨率、多角度探查的优势,已广泛应用于胆道外科的微创手术。其在困难腹腔镜胆囊切除术(LC)、胆总管探查术、肝内胆管结石手术、辅助胆胰肿瘤术中分期等方面有很大的辅助作用。本文重点讨论LUS在胆道系统腹腔镜手术中的应用及其技术要点。

Laparoscopic ultrasound (LUS) has the advantage of high resolution, multi-angle exploration, and is widely used in minimally invasive surgery of biliary tract. LUS has a series of auxiliary function in difficult laparoscopic cholecystectomy (LC), common bile duct exploration, surgery of intrahepatic biliary calculi, and intraoperative staging of pancreato-biliary tumor. This paper summarizes the application of LUS in laparoscopic biliary surgeries and the related technical essentials.