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The Efficacy of Endoscopic Retrograde Cholangiopancreatography Immediately following Laparoscopic Cholecystectomy
http://hdl.handle.net/10191/33131
http://hdl.handle.net/10191/3313163c15561-3539-44b1-8e05-2c40d7295305
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
45(3)_127-132.pdf (2.4 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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| 公開日 | 2015-08-25 | |||||
| タイトル | ||||||
| タイトル | The Efficacy of Endoscopic Retrograde Cholangiopancreatography Immediately following Laparoscopic Cholecystectomy | |||||
| タイトル | ||||||
| タイトル | The Efficacy of Endoscopic Retrograde Cholangiopancreatography Immediately following Laparoscopic Cholecystectomy | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | endoscopic retrograde cholangiopancreatography | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | laparoscopic cholecystectomy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | bile duct injury | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | retained bile duct stone | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
Hanazaki, Kazuhiro
× Hanazaki, Kazuhiro× Sodeyama, Harutsugu× Asato, Susumu× Sode, Yoshihisa× Matsuda, Yoshiaki |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | To determine the efficacy of endoscopic retrograde cholangiopancreatography (ERCP) in detecting retained stones or bile duct injury immediately after following laparoscopic cholecystectomy (LC), 113 patients were reviewed undergoing LC between September 1993 and September 1996. Among them, 44 patients (38.9%) underwent ERCP within postoperative day 4. ERCP was indicated as follows: 1) patients with postoperative cholestasis and/or excessive amounts of bilious drainage from the intraabdominal drain; 2) patients with discrepancies between preoperative imaging modalities and intraoperative findings; and 3) patients without either preoperative ERCP or intraoperative cholangiography (IOC). Postoperative complications detected by ERCP included bile duct injury in 2 patients, retained common bile duct (CBD) stone in 1 patient, and hepatolithiasis in 1 patient. One patient mistakenly clipped CBD not to a cystic duct, and subsequent ERCP showed interruption of the bile duct so that an emergency operation was performed. Another patient had leakage from a cystic duct-CBD junction, and subsequent ERCP showed abundant leakage of the bile duct, so that endoscopic nasobiliary drainage (ENBD) was performed. The retained CBD stone was removed by endoscopic sphincterotomy (EST) following ERCP. In conclusion, ERCP immediately following LC in the selected patients on the basis of the above indications of 1) and 2) may be recommended as one useful method which detects accurately retained stones and bile duct injury. | |||||
| 書誌情報 |
Acta medica et biologica en : Acta medica et biologica 巻 45, 号 3, p. 127-132, 発行日 1997-09 |
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| 出版者 | ||||||
| 出版者 | Niigata University School of Medicine | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 05677734 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00508361 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
