Laparoscopic ultrasound to exclude cystic duct obstruction in laparoscopic subtotal cholecystectomy
ZHU Ji-qiao, FAN Hua, HE Qiang, HAN Dong-dong, KOU Jian-tao, LI Li-xin, JIN Zhong-kui, LI Xian-liang, PAN Fei, WU Tian-ming, CHEN Da-zhi
Published 2012-04-28
Cite as Chin J Hepatobiliary Surg, 2012,18(04): 261-263. DOI: 10.3760/cma.j.issn.1007-8118.2012.04.006
Abstract
Objective To investigate the use of laparoscopic ultrasound to exclude cystic duct obstruction and its related risk factors in laparoscopic cholecystectomy.Methods The data of 28 patients who underwent laparoscopic cholecystectomy in our department for cystic duct obstruction from February 2008 to April 2010 were analyzed.Subtotal resection of gallbladder and exclusion of cysticduct were carried out when the gallbladder triangle anatomy was not clear.An abdominal drain was used.Results All the patients were cured and there was no bleeding,abdominal infection,or jaundice.On univariate analysis,risk factors for cystic duct obstruction were adhesions in Calot triangle,gallbladder atrophy,acute cholecystitis,cystic duct stone incarceration,gallbladder wall thickening and white bile.Adhesion in Calot triangle,acute cholecystitis and white bile were independent risk factors on multivariate analysis.Conclusion Excluding cystic duct obstruction by laparoscopic ultrasound for patients who underwent laparoscopic cholecystectomy for cystic duct obstruction is safe and effective.
Key words:
Laparoscopic cholecystectomy; Exclusion operation; Risk factors; Operative ultrasound
Contributor Information
ZHU Ji-qiao
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
FAN Hua
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
HE Qiang
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
HAN Dong-dong
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
KOU Jian-tao
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
LI Li-xin
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
JIN Zhong-kui
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
LI Xian-liang
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
PAN Fei
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
WU Tian-ming
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China
CHEN Da-zhi
Department of Hepatobiliary Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, P. R. China