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2006•Applied Journal of General PracticeRequires access

The Strategy of Avoiding Missed Diagnosis of Common Duct Stones in Cholecystectomy

WU Zhi-pen

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Abstract

Objective To research methods of avoiding missed diagnosis of common duct stones in cholecystectomy.MethodsThe data of 1147 patients received cholecystectomy were retrospectively analyzed, 18 cases with common bile duct stones,which undiscovered by preoperative examination,were found out during operation.Results Nine patients with common bile duct stones were discovered by touching common bile duct carefully during operation,4 by intraoperative cholangiography,5 by intraoperative cholangioscopy.Conclusions It is important to touch common bile duct and perform cholangiography and cholangioscopy during process of cholecystectomy for avoiding missed diagnosis of common duct stones.

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What this paper is about

Objective To research methods of avoiding missed diagnosis of common duct stones in cholecystectomy.MethodsThe data of 1147 patients received cholecystectomy were retrospectively analyzed, 18 cases with common bile duct stones,which undiscovered by preoperative examination,were found out during operation.Results Nine patients with common bile duct stones were discovered by touching common bile duct carefully during operation,4 by intraoperative cholangiography,5 by intraoperative cholangioscopy.Conclusions It is important to touch common bile duct and perform cholangiography and cholangioscopy during process of cholecystectomy for avoiding missed diagnosis of common duct stones.

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Available abstract

Objective To research methods of avoiding missed diagnosis of common duct stones in cholecystectomy.MethodsThe data of 1147 patients received cholecystectomy were retrospectively analyzed, 18 cases with common bile duct stones,which undiscovered by preoperative examination,were found out during operation.Results Nine patients with common bile duct stones were discovered by touching common bile duct carefully during operation,4 by intraoperative cholangiography,5 by intraoperative cholangioscopy.Conclusions It is important to touch common bile duct and perform cholangiography and cholangioscopy during process of cholecystectomy for avoiding missed diagnosis of common duct stones.

Key concepts: Medicine, Cholecystectomy, Cholangiography, Common bile duct, Common Duct, Duct (anatomy), General surgery, Bile duct

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