[1]谢德红,陈大志,李鹏,等.腹腔镜超声在腹腔镜肝胆手术中的应用[J].中国微创外科杂志,2008,08(1):46-48.
　Xie Dehong,Chen Dazhi,Li Peng,et al.Application of Laparoscopic Ultrasonography in Hepatobiliary Surgeries[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):46-48.
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腹腔镜超声在腹腔镜肝胆手术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
46-48
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Application of Laparoscopic Ultrasonography in Hepatobiliary Surgeries
作者:
谢德红; 陈大志; 李鹏; 李立新; 樊华; 贺强
首都医科大学附属北京朝阳医院肝胆外科，北京100020
Author(s):
Xie Dehong;  Chen Dazhi;  Li Peng;  et al.
Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital, Beijing 100020, China
关键词:
腹腔镜超声; 肝胆手术
Keywords:
Laparoscopic ultrasonography; Hepatobiliary surgery
分类号:
R657.3;R657.4
文献标志码:
A
摘要:
目的探讨腹腔镜超声在腹腔镜肝胆手术中的应用价值。方法腹腔镜下肝切除、肝囊肿开窗及复杂胆囊切除等手术156例，手术中应用腹腔镜超声进行辅助检查，了解手术解剖入路结构及肿瘤分期。结果在19例肝切除及39例肝囊肿开窗手术中，腹腔镜超声在手术中标示重要肝内及肝外管道的走向及指导切除，在15例复杂胆囊切除中指导精确定位及进一步辨别可疑恶性占位。结论腹腔镜超声能够在腹腔镜肝胆外科手术中进行准确定位、指导治疗，对解决腹腔镜手术中外科医生触觉反馈减弱问题，提高手术效果有一定临床价值。
Abstract:
ObjectiveTo analyze the clinical value of laparoscopic ultrasonography (LUS) in laparoscopic hepatobiliary surgeries.MethodsA total of 156 cases of laparoscopic hepatectomy, hepatic abscess fenestration, and complicated cholecystectomy were analyzed. LUS was used during all the 156 operations; the anatomy and stage of the tumors were investigated.ResultsIn 19 cases of hepatectomy and 39 cases of hepatic abscess fenestration, the direction of critical intrahepatic and extrahepatic ducts were indicated by using LUS, and the operations were performed under the guidance of LUS. Moreover, in 15 cases of complicated cholecystectomy, the tumor was precisely located and further distinguished by LUS.ConclusionsLaparoscopic ultrasonography can precisely locate the tumor, guide the treatment, and resolve the problem of reduced feedback in touching for surgeons during laparoscopic hepatobiliary surgeries. It is of value to improve the operative outcomes.

参考文献/References:

[1]陈训如.腹腔镜超声——安全实施腹腔镜手术的重要辅助工具.中国微创外科杂志，2007，7（2）：14-15.
[2]Santambrogio R,Opocher E,Ceretti AP，et al.Impact of intraoperative ultrasonography in laparoscopic liver surgery.Surg Endosc，2007，21(2):181-188.
[3]Taylor A,Roberts S,Manson J.Experience with laparoscopic ultrasonography for defining tumour resectability in carcinoma of the pancreatic head and periampullary region.Br J Surg,2001,88(8):1077-1083.
[4]Foroutani A，Garland AM，Berber E，et a1．Laparoscopic ultrasound vs triphasic computed tomography for detecting liver tumors．Arch Surg，2000，135：933-938．
[5]Catheline JM，Turner R，Paries J,et al.Laparoscopic ultrasonography is a complement to cholangiography for the detection of choledocholithiasis at laparoscopic cholecystectomy.Br J Surg，2002,89(10):1235-1239.

更新日期/Last Update: 2013-10-22