术中胆道造影在腹腔镜手术治疗胆囊管结石中的应用

被引：5

作者：

邓小明 ^{[1
]}

陈焱 ^{[1
]}

孙海 ^{[1
]}

张丰深 ^{[1
]}

吴国栋 ^{[1
]}

李志强 ^{[1
]}

陈宇欣 ^{[1
]}

机构：

[1] 解放军324医院肝胆外科

来源：

西南国防医药 | 2013年 / 05期

关键词：

胆囊管结石; 腹腔镜胆囊切除术; 术中胆道造影;

D O I：

暂无

中图分类号：

R657.4 [胆囊、胆管];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨术中胆道造影在腹腔镜手术治疗胆囊管结石中的应用。方法对74例胆囊管结石行腹腔镜胆囊切除同时术中胆道造影的临床资料进行回顾性分析。结果 68例完成腹腔镜手术,6例中转开腹;72例造影成功,成功率为97.3%;造影前行胆道冲洗14例,造影发现胆囊管残石2例,Mirizzi综合征5例,胆总管结石6例,造影后留置造影管减压4例。术中发现胆总管侧壁撕裂伤1例,造影提示胆总管-门静脉瘘1例。并发胆总管撕裂伤和胆总管-门静脉瘘各1例。结论腹腔镜手术治疗胆囊管结石过程中,胆道造影有助于了解胆囊管的走向和残端长度,明确Mirizzi综合征或胆总管结石的诊断,术中可经造影管冲洗胆道,术后留置造影管行胆道减压或为二期取石ERCP插管提供引导。

引用

页码：488 / 490

页数：3

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