胆囊管

在胆囊管上的结扎可能滑脱。

The tie on the cystic duct may slip off .

97例MRCP中胆管显示率100%，胰管显示率97%，胆囊管显示率68%。

The detective rate of MRCP for bile duct , pancreatic duct and cystic duct were 100 % , 97 % and 68 % respectively .

LC术中穿线结扎法处理胆囊管和胆囊动脉的临床实践

Clinical Application of Thread-ligating Cystic Duct and Artery in LC

胆囊管及肝外胆管ERCP图像分析及意义

Analysis of ERCP Image of Cystic Duct and Extrahepatic Bile Duct

方法：在LC中经胆囊管向胆囊内置入光导纤维，导入冷光源。

Methods : Cold light was led into cystic duct through the optical fiber in LC .

胆囊管不全性梗阻的ERCP诊断与治疗

Diagnosis and treatment of cholecystic duct partial obstruction by ERCP

胆石症胆囊管MRCP分析及临床意义

MRCP Analysis and its Clinical Significance of Cystic Duct in Cholecystolithiasis

ERCP对胆囊管残留综合征的诊断价值

Diagnostic value of ERCP for cholecystic duct remnant syndrome

方法回顾性分析3例LC术后胆囊管瘘病例的临床资料。

Methods Retrospective study of the clinical materials of 3 cases of cystic duct fistula after LC was made .

中转OC要视胆囊炎部位、程度、结石梗阻的位置和胆囊管长短而定。

Changing the operation into OC accorded to the position of cholecystitis , obstructing and the length of gallbladder tube .

目的探讨LC中胆囊管结石的诊断、手术方法及术后并发症的预防。

Objective : To explore the diagnosis and operative methods of calculus of cystic duct during laparoscopic cholectystectomy ( LC ) and prevention of post-LC complications .

Calot三角的良好显露、正确处理胆囊管和胆囊动脉是LC成功的关键；

The key of LC is good exposure of Calot triangle , correct dispose of gallbladder tube and gallbladder artery .

本文报告经B超和ERCP检查及手术证实的胆囊管残留综合征13例。

Thirteen cases of cholecystic duct remnant syndrome ( CDRS ) diagnosed by B-type ultrasonic examination and ERCP and confirmed by operation are reported .

结论胆囊管狭长弯曲是临床并不少见的胆道疾病，ERCP可提高检出率，行胆囊切除术疗效好。``

Conclusion Narrow - winding cystic duct is not a rare biliary disorder with high rate of confirmation by ERCP and fine result following cholecystectomy .

方法2002年12月~2005年12月，我院采用胆囊管逆行分离法解剖胆囊管行1460例腹腔镜胆囊切除术（laparoscopiccholecystectomy，LC）。

Methods Laparoscopic cholecystectomy was performed in 1 460 cases , by using the retrograde dissection of the cystic duct , from December 2002 to December 2005 in this hospital .

结论ERCP可以清晰显示肝外胆管及胆囊管的形态及变异情况，对于胆囊手术术前了解肝外胆道系统形态及变异有重要价值。

Conclusions ERCP can clearly show out the conformation and variation of extrahepatic bile duct and cystic duct and it is of important value before gallbladder operation .

结论LC术后胆囊管瘘临床表现多样，B超可以发现腹腔积液，确定诊断依赖于MRCP和ERCP。

Conclusions The clinical manifestations of cystic duct fistula were different . Ascites can be found under B ultrasound . Final diagnosis relies on MRCP and / or ERCP .

方法：对具有胆道探查指征的病人，施行胆囊管汇入部切开约2～3mm，然后经此切开处置入胆道镜进行检查和治疗。

Methods : 2 ~ 3 mm incision was made in the confluence part of CBD and cystic duct on patients with exploration indication .

结论胆囊管解剖结构异常不是Mirizzi综合征的主要原因；

Conclusion The anatomical deformity of cholecystic duct is not major cause of Mirizzi syndrome , nor cholecystic stone or stone obstruction is only cause .

ERCP造影的X线形态：胆囊管残留过长（残留型）4例，再生胆囊形成呈囊状形6例，憩室型3例；

According to the figures of X-rays photograph of ERCP contrast , 4 cases show longer duct remnants ( remnant type ), 6 cases show cystic form of regenerated bile-cyst , and 3 cases show diverticulum type .

结论PCS最为常见的病因为胆管结石和胆管狭窄，其他较为少见原因包括十二指肠憩室、Oddi括约肌运动功能障碍、胆囊管残留过长、残余小胆囊及非胆道疾病等。

Conclusions The biliary stone and stricture of bile are the most common etiology in PCS. The other causes include duodenal diverticulum , dysfunction of Oddi sphincter , more remnant of cholecyst duct and residual mini gallbladder and non-biliary tract diseases .

方法：回顾分析4例胆总管切开取石Ⅰ期缝合、自制硅橡胶环固定胆囊管引流和5d后拔除引流管的患者的临床资料。

Methods : The clinical data of 4 cases of choledocholithotomy with primary suture , drainage of the cystic duct stump using self-made silicon ring closure and withdrawal of drainage on day 5 post-operation were analyzed retrospectively .

方法104例LC因肝外胆系解剖变异、胆囊管真实性不确定、疑有胆总管结石或胆道损伤、三角区粘连或炎症、急性或萎缩性胆囊炎等被界定为复杂的LC患者。

Methods One hundred and four cases of LC were defined complicated because of anatomic aberrance of the extrahepatic biliary system , unconfirmed exposed cystic duct , suspected CBD calculi or BDI , adhesion or inflammation in the Calot ′ s triangle , acute cholecystitis , and atrophic gallbladder .

结论：严格控制手术适应证，充分暴露，规范化处理Calot三角、胆囊管和胆囊床，掌握腔内打结技术是预防胆漏的关键。

Conclusions : The key preventing measures includes strictly controlling of the surgery indication , standard handling of the Calot 's triangle , cystic duct and cystic bed , and mastering the tie skills in the cavity .

结果主动中转开腹79例，主要原因为Calot三角严重粘连、胆囊管结石嵌顿、胆囊萎缩及解剖变异。

Results The main causes were intensive dense adhesion of Calot 's triangle , stone incarceration on the neck of the gallbladder , shrunken gallbladder and abnormal anatomy in 79 cases undergoing LC of active conversion into surgery .

结果：胆囊管远端结石18例，胆囊管近端结石12例，胆囊管结石Calot三角严重粘连3例，分别采用不同手术方法处理胆囊管。

Results : 18 cases with distal end calculus of cystic duct and 12 case with proximal end calculus of cystic duct , calot triangle adhesive acutely caused by calculus of cystic duct in 3 patients , different operation means were used to handle cystic duct .

经胆囊管探查胆总管的临床研究

Clinical study on exploration of common bile duct via cystic duct

胆囊管残端黏液囊肿2例；

Mucocele of bile duct remnant was identified in 2 cases .

胆囊管结石的治疗：附158例报告

Treatment of cholecystic duct stones : a report of 158 cases

左、右肝管各自独立地开口于胆囊管近肠部。

Hepatic ducts each open into the cystic duct near the intestines .