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为探讨腹腔镜下胆道造影的方法和价值，对６００例胆囊结石并慢性或急性胆囊炎（其中４例伴阻塞性黄疸，６例为胆源性胰腺炎）病人行无选择性腹腔镜胆囊切除和常规术中经胆囊管插管胆道造影术。５６８例（９４．７％）完成了术中胆道造影。术中造影发现胆总管病变４２例，其中３２例为术前未曾检查出的胆管异常。全组共发生胆管损伤３例（０．５％）。表明腹腔镜下经胆囊管插管胆道造影成功率高，术中胆道造影具提高手术质量和防止或减少胆管损伤的作用。
To explore the method and value of laparoscopic cholangiography, 600 cases of cholecystolithiasis with chronic or acute cholecystitis (4 cases with obstructive jaundice and 6 cases of biliary pancreatitis) underwent selective laparoscopic cholecystectomy And conventional intraoperative cystic duct catheterization cholangiography. 568 cases (94.7%) completed intraoperative cholangiography. Intraoperative findings of common bile duct lesions in 42 cases, of which 32 cases were not detected before the bile duct abnormalities. Bile duct injury occurred in 3 cases (0.5%) in the whole group. Laparoscopic cystic duct catheterization showed high success rate of bile duct angiography, intraoperative cholangiography to improve the quality of surgery and prevent or reduce the role of bile duct injury.