UNSUSPECTED CHOLEDOCHAL CYST DURING LAPAROSCOPIC CHOLECYSTECTOMY

被引:4
作者
PIETRABISSA, A
BOGGI, U
DICANDIO, G
GIULIANOTTI, PC
SARTONI, G
MOSCA, F
机构
[1] Istituto di Chirurgia Generale e Sperimentale, Università di Pisa, Ospedale di Cisanello, Pisa, 56124
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1995年 / 9卷 / 10期
关键词
CHOLEDOCHAL CYSTS; LAPAROSCOPIC CHOLECYSTECTOMY; INTRAOPERATIVE CHOLANGIOGRAPHY;
D O I
10.1007/BF00189003
中图分类号
R61 [外科手术学];
学科分类号
摘要
Cystic dilation of the extrahepatic bile ducts is rarely encountered during elective biliary surgery planned for different indications, We report here on a patient with unremarkable preoperative workup and normal intraoperative anatomy of the cystic pedicle in whom a type I choledochal cyst containing a large stone was detected by the combined use of laparoscopic contact ultrasonography and intraoperative cholangiography. This case report highlights the importance of intraoperative imaging modalities of the ductal system not only in preventing iatrogenic injuries and their related complications, but also in detecting unsuspected associated biliary pathology which might significantly change the course of surgical intervention.
引用
收藏
页码:1127 / 1129
页数:3
相关论文
共 17 条
[1]  
Barkun J.S., Fried G.M., Barkun A.N., Sigman H.N., Hinchey E.J., Garzon J., Weksler M.J., Meakins J.L., Cholecystectomy without operative cholangiography, Ann Surg, 218, pp. 371-379, (1993)
[2]  
Berci G., Sackier N., Paz-Partlow M., Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy, Am J Surg, 161, pp. 355-360, (1991)
[3]  
Berci G., Biliary ductal anatomy and anomalies. The role of intraoperative cholangiography during laparoscopic cholecystectomy, Surg Clin North Am, 72, pp. 1069-1075, (1992)
[4]  
Brandt C.P., Eckhauser M.L., Rare bile duct anomalies: a case report and implications for laparoscopic cholecystectomy, Surg Endosc, 8, pp. 403-408, (1994)
[5]  
Caroli J., Soupalt R., Kossakowski J., Congenital cystic disease of the liver and biliary system, Ann Surg, 174, pp. 711-716, (1971)
[6]  
Cuschieri A., Shimi S., Banting S., Nathanson L.K., Pietrabissa A., Intraoperative cholangiography during laparoscopic cholecystectomy. Routine versus selective policy, Surg Endosc, 8, pp. 302-305, (1994)
[7]  
Gibbs D.H., Crist D.C., Intraoperative diagnosis of choledochal cyst in preparation for laparoscopic cholecystectomy, Surg Laparosc Endosc, 3, pp. 225-229, (1994)
[8]  
Goletti O., Buccianti P., Decanini L., Lippolis P.V., Spisni R., Chiarugi M., Cavina E., Intraoperative sonography of biliary tree during laparoscopic cholecystectomy, Surg Laparosc Endosc, 4, pp. 9-12, (1994)
[9]  
Jakimowicz J.J., Technical and clinical aspects of intraoperative ultrasound appliable to laparoscopic ultrasound, Endosc Surg, 2, pp. 119-126, (1994)
[10]  
Machi J., Sigel B., Zaren H.A., Kurohiji T., Yamashita Y., Operative ultrasonography during hepatobiliary and pancreatic surgery, World J Surg, 17, pp. 640-646, (1993)