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首页> 外文期刊>Surgical Endoscopy >Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study
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Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study

机译：双常见胆管检测与腹腔镜胆囊切除术治疗胆囊胆囊切除术治疗胆囊胆囊胆囊胆囊胆囊胆囊，胆胆囊胆囊病

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摘要

Background Detection of common bile duct (CBD) stones is a major objective of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC). We evaluated the feasibility and safety of the routine use of transcystic choledochoscopy following IOC (dual common bile duct examination: DCBDE), which may improve the diagnostic accuracy of CBD stones and facilitate one-stage clearance, in LC for suspected choledocholithiasis. Methods Between May 2017 and November 2018, 38 patients with suspected choledocholithiasis were prospectively enrolled in this study, regardless of whether they underwent endoscopic sphincterotomy. Transcystic choledochoscopy was routinely attempted following IOC in LC. Results Five cases were excluded due to cholecystitis, bile duct anomaly, or liver cirrhosis. DCBDE was performed in the remaining 33 patients. The biliary tree was delineated by IOC in all patients. Subsequently, choledochosope was performed in 32 patients except for one who was found to have pancreaticobiliary malunion in IOC. The scope was successfully passed into the CBD in 25 (78.1%) patients. Choledochoscopy detected 3 (9.4%) cases of cystic duct stones and 4 (12.5%) cases of CBD stones which were not identified by IOC. All those stones were removed via cystic duct. There were no intra- and postoperative complications, except for two cases of wound infection and one case of a transient increase in serum amylase. Conclusions DCBDE in LC is a safe and promising approach for intraoperative diagnosis and one-stage treatment of suspected choledocholithasis.
机译：背景：检测胆总管结石是腹腔镜胆囊切除术（LC）术中胆道造影（IOC）的主要目标。我们评估了IOC（双胆总管检查：DCBDE）后常规使用经胆囊胆道镜检查的可行性和安全性，该检查可提高怀疑胆总管结石的LC中CBD结石的诊断准确性，并促进一期清除。方法2017年5月至2018年11月，前瞻性纳入38例疑似胆总管结石患者，无论他们是否接受内镜下括约肌切开术。LC术中IOC后常规尝试经胆囊胆道镜检查。结果5例因胆囊炎、胆管异常或肝硬化被排除在外。其余33名患者接受了DCBDE检查。所有患者的胆道均由IOC描绘。随后，32名患者接受了胆总管切开术，其中一名患者在IOC中被发现存在胰胆管畸形愈合。25例（78.1%）患者成功地将内窥镜送入CBD。胆道镜检查发现3例（9.4%）胆囊管结石，4例（12.5%）CBD结石，IOC未发现。所有结石均经胆囊管取出。除两例伤口感染和一例血清淀粉酶短暂升高外，无术中和术后并发症。结论腹腔镜胆囊切除术中应用DCBDE是一种安全可行的方法，可用于可疑胆总管结石的术中诊断和一期治疗。

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  • 来源
    《Surgical Endoscopy》 |2021年第7期|共8页
  • 作者

    Matsumura Tatsuki; Komatsu Shunichiro; Komaya Kenichi; Fukami Yasuyuki; Arikawa Takashi; Saito Takuya; Osawa Takaaki; Kurahashi Shintaro; Uchino Tairin; Kato Shoko; Toda Yoko; Kaneko Kenitiro; Sano Tsuyoshi;

  • 作者单位

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

    Aichi Med Univ Dept Gastroenterol Surg 1-1 Yazakokarimata Nagakute Aichi 4801195 Japan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Choledocholithiasis; Common bile duct; Cystic duct; Choledochoscopy; Cholangiography;

    机译：胆总管结石;胆总管;胆囊管;胆道镜;胆道造影;

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