Review
Research progress of intraoperative cholangiography in laparoscopic cholecystectomy
Wen Tianfu, Dai Lingbo, Xu Honggen, Hua Changxing
Published 2023-04-15
Cite as Int J Surg, 2023, 50(4): 275-279. DOI: 10.3760/cma.j.cn115396-20221124-00401
Abstract
With the widespread implementation of laparoscopic cholecystectomy in various levels of medical institutions, surgical complications have also increased. Among them, the incidence of bile duct injury remains high in complex laparoscopic cholecystectomy. The reason for this is that surgeons cannot effectively and accurately identify the relationship between the aberrant bile duct and the cystic duct and the common bile duct, resulting in the accidental injury of the bile duct, resulting in long hospital stays, increased medical costs, and decreased long-term quality of life for patients. Intraoperative cholangiography, as a real-time visual method of biliary presentation, can effectively reduce the incidence of iatrogenic bile duct injury. However, most surgeons do not fully understand the technology of intraoperative cholangiography during cholecystectomy. This article reviews the application of intraoperative cholangiography in laparoscopic cholecystectomy based on the clinical experience of the author′s team and the literature in recent years, with the aim of deepening the understanding of surgeons about intraoperative cholangiography, so as to better apply it to clinical practice and benefit patients.
Key words:
Cholecystectomy, laparoscopic; Cholangiography; Bile duct diseases; Bile duct injury
Contributor Information
Wen Tianfu
Department of General External Hepatobiliary Surgery, the First People′s Hospital of Wenling, Wenling 317500, China
Dai Lingbo
Department of General External Hepatobiliary Surgery, the First People′s Hospital of Wenling, Wenling 317500, China
Xu Honggen
Department of General External Hepatobiliary Surgery, the First People′s Hospital of Wenling, Wenling 317500, China
Hua Changxing
Department of General Gastrointestinal Hernia Surgery, the Second Hospital of Harbin, Harbin 150056, China