磁共振胰胆管成像对腹腔镜下经胆囊管胆道 探查术可行性的评估价值

The feasibility of laparoscopic trans-cystic common bill duct under MRCP

摘要:

目的 探讨磁共振胰胆管成像（MRCP）对腹腔镜下经胆囊管胆道探查术可行性的评估价值。 方法 对78例胆道结石患者在术前用MRCP进行腹腔镜下经胆囊管胆道探查术的可行性评估，将病例分为腹腔镜下经胆囊管胆道探查（LTCBDE）组及腹腔镜下胆总管切开探查（LCBDE）组。根据实际完成的手术方式，评价MRCP对LTCBDE可行性评估的价值。 结果 术前MRCP评估分组：LTCBDE组：30例，LCBDE组：48例。LTCBDE组30例完成27例，3例改行LCBDE。LCBDE组48例完成43例，5例完成LTCBDE。 结论 MRCP可作为腹腔镜下经胆囊管胆道镜探查术可行性的评估方法，并对手术操作具有指导作用。

Abstract:

【Objective】 To investigate the value of MRCP in evaluating the preoperative feasibility of laparoscopic trans-cystic common bill duct exploration. 【Methods】 A total of 78 patients with choledocholithiasis were divided into two groups (the LTCBDE group and LCBDE group) according to MRCP. The value of MRCP to the LTCBDE was evaluated. 【Results】 All patients were evaluated and divided by using MRCP preoperatively: 30 patients were in LTCBDE group and 48 patients in LCBDE group. 27 patients in LTCBDE group(27/30) accepted LTCBDE, other 3 cases received the LCBDE. 43 patients In LCBDE group (43/48) accepted LCBDE, other 5 cases received the LTCBDE. 【Conclusion】 MRCP is not only a useful tool to evaluate the preoperative feasibility of LTCBDE, but also has a significant guiding role for the operation.