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首页> 外文期刊>Surgical Endoscopy >Clinical implication of preoperative oral cholecystogram for laparoscopic cholecystectomy.
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Clinical implication of preoperative oral cholecystogram for laparoscopic cholecystectomy.

机译：术前口服胆囊造影对腹腔镜胆囊切除术的临床意义。

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BACKGROUND: The aim of this study was to retrospectively assess the usefulness of the preoperative oral cholecystogram (OCG) as an index to the feasibility of laparoscopic cholecystectomy (LC) and the operative pathologic findings. Laparoscopic cholecystectomy has become the standard treatment for symptomatic gallbladder (GB) disease. However, no definite diagnostic modality that can predict the feasibility of LC and severity of pathologic anatomy has been proposed. METHODS: Retrospective data were collected on 240 consecutive patients undergoing LC at St. Vincent Hospital, Catholic University Medical College, from October 1991 until December 1993. Radiologic interpretations of OCG were standardized according to the method of Koehler and Kyaw--from grade 0 to 4. And the operative findings--pericholecystic adhesion, color of GB, and thickness of the GB wall--were evaluated simultaneously. RESULTS: The analysis showed that preoperative OCG can predict intraoperative GB perforation (p = 0.022), intraoperative controllable bleeding (p = 0.034), and operating time (p = 0.0001) according to the grade of visualization of GB. Grade 2- or -better visualized groups had more patients who had blue-colored GB (p = 0.000) and who had thin GB wall (p = 0.000). CONCLUSIONS: Preoperative oral cholecystogram may be an accurate index of the feasibility of laparoscopic cholecystectomy--represented by operating time and important intraoperative minor complications related to the operative pathological findings.
机译：背景：本研究的目的是回顾性评估术前口服胆囊造影（OCG）作为腹腔镜胆囊切除术（LC）的可行性和手术病理结果的指标的有效性。腹腔镜胆囊切除术已成为有症状胆囊（GB）疾病的标准治疗方法。然而，没有提出可以预测LC的可行性和病理解剖学严重性的明确诊断方式。方法：回顾性数据收集自1991年10月至1993年12月在天主教大学医学院圣文森特医院连续接受LC治疗的240例患者。OCG的放射学解释采用Koehler和Kyaw的方法（从0级到0级）进行标准化。 4.同时评估了手术结果-胆囊周围粘连，GB的颜色和GB壁的厚度。结果：分析表明，根据GB的可视化程度，术前OCG可以预测术中GB穿孔（p = 0.022），术中可控制的出血（p = 0.034）和手术时间（p = 0.0001）。 2级或更佳的可视化组有更多的患者，其GB为蓝色（p = 0.000），且GB壁较薄（p = 0.000）。结论：术前口服胆囊造影可能是腹腔镜胆囊切除术可行性的准确指标，以手术时间和与手术病理结果相关的重要术中小并发症为代表。

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