Bile ducts and bile duct stones
著者
書誌事項
Bile ducts and bile duct stones
Saunders, c1997 [i.e. 1996]
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内容説明・目次
内容説明
The advent of laparoscopic cholecystectomy has represented a landmark breakthrough in the surgical treatment of gallstone disease. Drs. Berci, Cuschieri, and other 21 experts demonstrate how to take this breakthrough to the next level...minimizing risks, reducing costs, and improving prognoses! Bile Ducts and Bile Duct Stones is not only the most up-to-date work of its kind, but also the most thoroughly researched. It is the product of years of intensive research and clinical experience from the most prominent leaders in the specialty. Features: * Discusses how to implement today's most effective laparoscopic approaches in biliary surgery...avoid pitfalls...and obtain superior results. * Demonstrates how fast digitized fluorocholangiography can be used to recognize and manage anatomical anomalies of the biliary system--found in 10% of all patients with gallstone disease--for decreased operative time and safer, more effective surgical procedures. * Helps readers to discover and immediately repair injuries that occur during primary surgery. * Shows how to remove both gallbladder and gallstones in a single session--greatly reducing both patient risk and expense.
* Illustrates evaluation and management with over 200 explicit photographs and figures (64 in full color).
目次
Introduction. History of Choledochetomy. Radiologic Anatomy and Anomalies of the Extrahepatic Biliary Ducts. Surgical Anatomy of Laparoscopic Common Duct Exploration. The Role of Pre-Operative ERCP and Sphincterotomy in the Laparoscopic Era: Should It Be Any Different? The Role of Intraoperative Fluorocholangiography (IOF) During Laparoscopic Cholecystectomy (LC) and Ductal Stone Clearance. Operative Cholangiography: The Role of the Radiologist. Radiation Hazards. The Role of Contact Ultrasonography During Laparoscopic Cholecystectomy. Techniques of Laparoscopic Fluorocholangiography. The Unsuspected Ductal Stone. Laparoscopic Ductal Stone Clearance. Transcystic Approach. Direct Trans CBD Approach. Peroperative Endoscopic Sphincterotomy. Conversion to Open. Management of Retained Stone. The Early Diagnosis of Bile Leakage. Endoscopic Management of Postoperative Bile Leaks. Repair of Bile Duct Injuries. A Cost Effective Approach to the Treatment of Common Bile Duct Stones with Surgical Vs Endoscopic Techniques. Ethical Considerations in Laparoscopic Choledocholithotomy. Conclusions.
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