INTRAVENOUS CHOLANGIOGRAPHY, ERCP, AND SELECTIVE OPERATIVE CHOLANGIOGRAPHY IN THE PERFORMANCE OF LAPAROSCOPIC CHOLECYSTECTOMY

被引：19

作者：

SALKY, B

BAUER, J

机构：

[1] Department of Surgery, Division of Laparoscopic Surgery, Mount Sinai School of Medicine, Mount Sinai Medical Center, New York, 10029, NY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 04期

关键词：

INTRAVENOUS CHOLANGIOGRAM; SELECTIVE OPERATIVE CHOLANGIOGRAPHY; LAPAROSCOPIC CHOLECYSTECTOMY; ERCP;

D O I：

10.1007/BF00590954

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Between March 1990 and March 1993 some 822 consecutive patients underwent an attempt at laparoscopic cholecystectomy. Intravenous cholangiography (IVC), ERCP, and selective intraoperative cholangiography (IOC) were used in the evaluation of common bile duct (CBD) stones. Two hundred thirteen patients (26%) were identified preoperatively with either abnormal liver functions or a dilated common bile duct suggestive of CBD stones. IVC was performed in 143 patients (67%). Choledocholithiasis was identified in 14 patients (10%). Preoperative therapeutic ERCP was successful in all 14 patients (100%). Diagnostic ERCP was attempted in 61 patients and successful in 59 (97%). Choledocholithiasis was identified in 25 patients (41%). Successful extraction was accomplished in 23 patients (92%). Transcystic common bile duct exploration was used effectively in the patients with an unsuccessful ERCP. IOC was attempted in 50 patients and successful in 48 (96%). Choledocholithiasis was identified in three (6%). A retained CBD stone was present in eight patients (1%). There was one level I CBD injury (0.122%). The use of IVC, selective ERCP, and selective IOC is a reasonable approach in the performance of laparoscopic cholecystectomy.

引用

页码：289 / 291

页数：3

共 7 条

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