AN ALTERNATIVE TECHNIQUE FOR LAPAROSCOPIC CHOLANGIOGRAPHY

被引：13

作者：

HOLZMAN, MD ^{[1
]}

SHARP, K ^{[1
]}

HOLCOMB, GW ^{[1
]}

FREXESSTEED, M ^{[1
]}

RICHARDS, WO ^{[1
]}

机构：

[1] VANDERBILT UNIV,MED CTR,SCH MED,DEPT GEN SURG,NASHVILLE,TN 37232

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 08期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; CHOLANGIOGRAM; KUMAR CLAMP;

D O I：

10.1007/BF00843475

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The current methods utilized for laparoscopic cholangiography involve cystic duct cannulation and present practical difficulties and potential hazards. An alternative method for intraoperative cholangiography is described which is easy, quick, and safe. The Kumar clamp (a gift from Sabi Kumar, M.D.) is placed across the infundibulum. A 23-gauge sclerotherapy needle is introduced through a side port in the clamp and directed into the infundibulum. The cholangiogram is obtained prior to any dissection in the triangle of Calot, thereby avoiding iatrogenic common bile duct injuries due to misidentification of the cystic duct or anomalous anatomy. To date no pathology has been missed and no complications have resulted from this technique.

引用

页码：927 / 930

页数：4

共 20 条

[1]

Berci G., Biliary ductal anatomy and anomalies. The role of intraoperative cholangiography during laparoscopic cholecystectomy, Surg Clin North Am, 72, pp. 1069-1075, (1992)

[2]

Cuschievi A., Berci G., McSherry C.K., Laparoscopic cholecystectomy, The American Journal of Surgery, 159, (1990)

[3]

Davidoff A.M., Pappas T.N., Murray E.A., Hilleren D.J., Johnson R.D., Baker M.E., Newman G.E., Cotton P.B., Meyers W.C., Mechanisms of major biliary injury during laparoscopic cholecystectomy, Ann Surg, 215, 3, pp. 196-202, (1992)

[4]

Flowers J.L., Zucker K.A., Graham S.M., Scovill W.A., Imbembo A.L., Bailey R.W., Laparoscopic cholangiography. Results and indications, Ann Surg, 215, 3, pp. 209-216, (1992)

[5]

Gerber A., Apt M.K., The case against routine operative cholangiography, Am J Surg, 143, pp. 734-736, (1982)

[6]

Gerber A., A requiem for the routine operative cholangiogram, Surg Gynecol Obstet, 163, pp. 363-364, (1986)

[7]

Gregg R.O., The case for selective cholangiography, Am J Surg, 155, 4, pp. 540-545, (1988)

[8]

Handy J.E., Rose S.C., Nieves A.S., Johnson R.L., Hunter J.G., Miller F.J., Intraoperative cholangiography: use of portable fluoroscopy and transmitted images, Radiology, 181, pp. 205-207, (1991)

[9]

Hauer-Jenson M., Karesen R., Nygaard, Predictive ability of choledocholithiasis indicators, Annals of Surgery, 202, pp. 64-68, (1985)

[10]

Henry M.L., Carey L.C., Complications of cholecystectomy, Surg Clin North Am, 63, pp. 1191-1204, (1983)

← 1 2 →