[Technic, indications and contribution of choledochoscopy in the diagnosis and treatment of biliary diseases].
Choledochoscopy it's a common method of intraoperative exploring of the extrahepatic biliary ducts and partially of the intrahepatic ones. He is used both in the open and laparoscopic surgery. We consider the operative cholangiogram, preferably transcystic, as a first step who precedes the endoscopic exploration. The transcystic choledochoscopy has specific and relatively narrow indications: undulated biliary ducts, 1-3 gallstones. The transcholedocian choledochoscopy permit a direct and complete exploration of the biliary ducts. The important diagnostic help that fibrocholedochoscopy gives in, it's accomplished by the possibility of therapeutic maneuvers (especially the gallstones extraction), which offers the quality of a miniinvasive, elegant and harmless treatment technique.
Clinica Chirurgie I, Spitalul Universitar de Urgenţă Bucureşti, Splaiul Independenţei nr. 169, Sector 3 Bucureşti 76251.
M
M
Grigoriu
R
R
Palade
D
D
Vasile
D
D
Voiculescu
H
H
Roman
D001649:Bile Duct Diseases / Q000175:diagnosis / Q000628:therapy*; D002769:Cholelithiasis / Q000175:diagnosis / Q000628:therapy; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome