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目的探讨选择性术中胆道造影在腹腔镜胆囊切除术中的临床应用价值。方法回顾性分析86例经腹腔镜胆囊切除术中选择性经胆囊管插管行胆道造影的临床资料。结果术中造影发现胆总管结石73例,胆管损伤1例,副肝管2例。结论腹腔镜胆囊切除术中选择性经胆囊管行胆道造影对降低胆管结石的残留,减少不必要的胆管阴性探查,辩明胆道解剖,避免及发现胆管损伤,提高腹腔镜胆囊切除术的质量和安全性有重要价值。
Objective To explore the clinical value of selective intraoperative cholangiography in laparoscopic cholecystectomy. Methods A retrospective analysis of 86 cases of laparoscopic cholecystectomy by cystic duct cannulation cholangiography clinical data. Results 73 cases of choledocholithiasis, 1 case of bile duct injury, 2 cases of accessory hepatic duct. Conclusion Cholecystectomy cholecystectomy cholecystectomy cholecystectomy to reduce the residual bile duct stones and reduce unnecessary bile duct negative exploration, to identify biliary anatomy, to avoid and find the bile duct injury and improve the quality and safety of laparoscopic cholecystectomy Sex has important value.