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Prospective study of scoring system in selective intraoperative cholangiography during laparoscopic cholecystectomy

机译:腹腔镜胆囊切除术中选择性术中胆道造影评分系统的前瞻性研究

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AIM: To evaluate of scoring system in predicting choledocholithiasis in selective intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC). METHODS: The scoring system of predicting choledocholithiasis was developed during the retrospective study in 264 cases, and was tested in 184 to evaluate its predictive value in choledocholithiasis. RESULTS: The scoring system was developed in a retrospective study of 264 cases, the statistical analyses showed the predictive factors included sex, transaminase levels, alkaline phosphatase level, bilirubin level, and common bile duct diameter on ultrasonography. The scoring system was used in 184 cases prospectively, of which, 3 of 162 (1.9 %) cases scoring <3 had choledocholithiasis, 17 of 22 (77.3 %) cases scores≥3 had choledocholithiasis. A case of scores≥3 or more prospectively should be considered highly intraoperative cholangiography during laparoscopic cholecystectomy. CONCLUSION: The scoring system can predict choledocholithiasis and is helpful in selection patietns for intraoperative cholangiography.
机译:目的:评估在腹腔镜胆囊切除术(LC)期间选择性术中胆管造影术(IOC)中预测胆总管结石的评分系统。方法:回顾性研究开发了264例胆总管结石预测评分系统,并在184例患者中进行了评估,以评估其对胆总管结石的预测价值。结果:对264例患者进行了回顾性研究,建立了评分系统,统计学分析显示,超声检查的预测因素包括性别,转氨酶水平,碱性磷酸酶水平,胆红素水平和胆总管直径。评分系统前瞻性地使用了184例,其中162分中<3分(占3分)(1.9%)有胆总管结石,22分≥3分中有17例(77.3%)有胆总管结石。在腹腔镜胆囊切除术中,术前胆道造影应高度评分≥3或更高。结论:该评分系统可预测胆总管结石症,有助于选择术中胆道造影的患者。

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