CHOLESCINTIGRAPHY IN THE DIAGNOSIS OF THE COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY

被引：9

作者：

BRUGGE, WR

ALAVI, A

机构：

[1] Gastrointestinal Unit, Massachusetts General Hospital, Boston, MA

[2] Department of Nuclear Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA

来源：

SEMINARS IN ULTRASOUND CT AND MRI | 1993年 / 14卷 / 05期

关键词：

D O I：

10.1016/S0887-2171(05)80056-3

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

Cholescintigraphy has been used to diagnose postoperative bile leaks and obstructions after open cholecystectomy. This imaging technique has been found to be sensitive for detecting bile leaks that arise from cholecystectomy and defects in the filling and emptying of bile ducts. These observations can be applied to patients who are suspected of having bile duct injury after laparoscopic cholecystectomy. Cholescintigraphy can detect a variety of bile leaks including those arising from the gallbladder fossa, cystic duct, and the common bile duct. In addition, cholescintigraphy can be used for management of patients after stenting or bypass surgery, to assess bile flow and operative sites for any residual bile leaks. Postoperative bile duct obstructions can also be seen with cholescintigraphy. In this article we discuss a comprehensive postoperative strategy for the management and diagnosis of biliary defects after laparoscopic cholecystectomy with cholescintigraphy. © 1993 W.B. Saunders Company. All rights reserved.

引用

页码：368 / 374

页数：7

共 21 条

[1]

Weissmann, Gliedman, Wilk, Et al., Evaluation of the postoperative patient with Tc-99m IDA cholescintigraphy, Seminars in Nuclear Medicine, 12, pp. 199-222, (1982)

[2]

Gilsdorf, Phillips, McLeod, Et al., Radionuclide evaluation of bile leakage and the use of subhepatic drains after cholecystectomy, Am J Surg, 151, pp. 259-262, (1986)

[3]

Van der Linden, Kempi, Gedda, A radionuclide study of the effectiveness of drainage after elective cholecystectomy, Ann Surg, 193, pp. 155-160, (1981)

[4]

Rayter, Tonge, Bennett, Et al., Bile leaks after simple cholecystectomy, Br J Surg, 76, pp. 1046-1048, (1989)

[5]

Lorenz, Beyer, Peters, Detection of intraperitoneal bile accumulations: Significance of ultrasonography, CT, and cholescintigraphy, Gastrointest Radiol, 9, pp. 213-217, (1984)

[6]

Rozran, Preston, McMillan, Hepatobiliary imaging for demonstration of bile leaks, Clinical Nuclear Medicine, 9, (1984)

[7]

Patel, Oates, Postcholecystectomy bile leak: Serial hepatobiliary imaging and percutaneous drainage, Clin Nucl Med, 13, pp. 805-807, (1988)

[8]

Lette, Morin, Heyen, Et al., Standing views to differentiate a gallbladder or bile leak from duodenal activity on cholescintigram, Clinical Nuclear Medicine, 15, (1990)

[9]

Siddiqui, Ellis, Madura, Different patterns for bile leakage following cholecystectomy demonstrated by hepatobiliary imaging, Clin Nucl Med, 11, pp. 751-753, (1986)

[10]

Shin, Duff, Mostowycz, Bile leak accumulation in the gallbladder bed mimicking normal visualization of gallbladder in technetium-99m DISIDA hepatobiliary imaging, Clinical Nuclear Medicine, 14, (1989)

← 1 2 3 →