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腹腔镜胆道造影在腹腔镜胆道手术中的作用
Clinical value and application of intraoperative cholangiography in laparoscopic biliary tract surgery
文章发布日期:2013年02月01日  来源:  作者:姚英民,逯忠堂,郑 鑫  点击次数:2701次  下载次数:558次

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【摘要】:腹腔镜胆道手术最常见的手术并发症是胆道残余结石及胆管损伤。临床上常用的与胆石症相关的术前检查均具有一定的局限性。腹腔镜术中胆道造影的方法可以明确肝内外胆管结石的情况,预防术后胆道残余结石发生,预防和及时发现术中胆管损伤,提高胆管损伤修复的成功率。因此,掌握术中胆道造影的适应证并合理应用,具有重要的临床意义。本文从腹腔镜术中胆道造影的意义、腹腔镜术中胆道造影的适应证、方法及注意事项等几方面就胆道造影在腹腔镜胆道手术中的应用现况加以评述。
【Abstract】:The most common complications of laparoscopic biliary tract surgery are residual stones and physical injury to the bile duct. However, the risk for both of these complications may be reduced significantly by the use of intraoperative cholangiography (IOC) during the laparoscopic biliary tract surgery. When properly applied with contrast medium, IOC can reveal the biliary tract anatomy and the stones within, thereby guiding the performance of the laparoscopic procedure to achieve complete removal of all stones while preventing biliary tract injury. Several features of the IOC procedure, such as the contrast agent, injection speed and volume, affect its clinical utility during the laparoscopic biliary tract surgery. Therefore, this review summarizes the significance, indications, and methods of IOC that facilitate its useful application in laparoscopic biliary tract surgery.
【关键字】:胰胆管造影术,内窥镜逆行;胆囊切除术,腹腔镜
【Key words】:cholangiopancreatography, endoscopic retrograde; cholecystectomy, laparoscopic
【引证本文】:

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