ROUTINE FLUOROSCOPIC CHOLANGIOGRAPHY DURING LAPAROSCOPIC CHOLECYSTECTOMY - AN ARGUMENT

被引：20

作者：

BRUHN, EW

MILLER, FJ

HUNTER, JG

机构：

[1] UNIV UTAH,MED CTR,DEPT SURG,50 N MED DR,SALT LAKE CITY,UT 84132

[2] UNIV UTAH,MED CTR,DEPT RADIOL,SALT LAKE CITY,UT 84132

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 03期

关键词：

LAPAROSCOPY; CHOLECYSTECTOMY; CHOLANGIOGRAPHY;

D O I：

10.1007/BF02653213

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We evaluated the impact of routine fluoroscopic cholangiography on our first 100 laparoscopic cholecystectomies. Catheterization of the cystic duct was successfully performed in 89 of 99 attempts. The cholangiogram altered the course of the procedure in 9 (10%) of these cases. In three subjects, the information obtained revealed unsuspected choledocholithiasis. In the remaining six patients, unusual and potentially hazardous anatomic relationships were discovered that were not visible via laparoscopic exposure alone. Arguments for the selective use of cholangiography during open cholecystectomy are based only on the identification of unsuspected stones. The strongest argument for routine cholangiography during laparoscopic cholecystectomy is the additional anatomic information obtained. Based on our experience, we advocate that routine cholangiography be a part of all laparoscopic cholecystectomies.

引用

页码：111 / 115

页数：5

共 23 条

[11]

Gregg R.O., The case for selective cholangiography, Am J Surg, 155, pp. 540-544, (1988)

[12]

Hermann R.E., Hoerr S.O., The value of routine use of operative cholangiography, Surg Gynecol Obstet, 161, pp. 1015-1020, (1985)

[13]

Kitahama A., Kerstein M.D., Overby J.L., Kappelman M.D., Webb W.R., Routine intraoperative cholangiogram, Surg Gynecol Obstet, 162, pp. 317-322, (1986)

[14]

Mansberger J.A., Davis J.B., Scarborough C., Bowden T.A., Selective intraoperative cholangiography: a case for its use on an anatomic basis, Am Surg, 54, pp. 31-33, (1988)

[15]

Merenstein D., MacGowan K.M., Kune G.A., Frequency of anatomical hazards during cholecystectomy, Dig Surg, 2, pp. 121-125, (1985)

[16]

PL, La cholangiographia durante las operaciones de las vias biliares, Bol Soc Circ, 16, pp. 1133-1161, (1932)

[17]

Moossa A.R., Mayer A.D., Stabile B., Iatrogenic injury to the bile duct, Arch Surg, 125, pp. 1028-1031, (1990)

[18]

Pasquale M.D., Nauta R.J., Selective vs. routine use of intraoperative cholangiography: an argument, Arch Surg, 124, pp. 1041-1042, (1989)

[19]

Puente S.G., Bannura G.C., Radiological anatomy of the biliary tract: variations and congenital abnormalities, World J Surg, 7, pp. 271-276, (1983)

[20]

Scher K.S., Scott-Conner C.E., Complications of biliary surgery, Am Surg, 53, (1987)

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