Evolution of Virtual CT Laparoscopy for Preoperative Imaging in Laparoscopic Cholecystectomy.
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概要
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The purpose of this study was to determine the feasibility of virtual endoscopy, named as "virtual CT laparoscopy", in the hepatobiliary system prior to laparoscopic cholecystectomy. We applied this technique to 28 patients suspected of having biliary disease. These images were compared and analyzed qualitatively based on visualization of the structures critical to operative cholangiography and surgical findings. Twenty-four patients, who underwent laparoscopic cholecystectomy, were evaluated as follows: the common bile duct and the hepatic duct were adequately visualized in 23 (96%) of the 24 patients, the cystic duct in 21 (88%), the gallbladder opacification in 20 (83%), the liver inferior surface in 20 (83%). Four patients had anatomic variations detected virtual CT laparoscopy and were proven by operative cholangiography and surgical findings. We emphasize that our new technique may contribute to the laparoscopy during surgery as the aid of understanding of anatomical structures in these organs.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Uchida Masafumi
Department Of Radiology Kurume University School Of Medicine
-
Hayabuchi Naofumi
Department Of Radiology Kurume University Hospital
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Nishimura Hiroshi
Department Of Applied Chemistry Faculty Of Engineering Osaka Institute Of Technology
-
ISHIBASHI MASATOSHI
Department of Critical Care Center, Kurume University School of Medicine
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NISHIMURA HIROSHI
Department of Radiology, Kurume University School of Medicine
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