The value of preoperative B-type ultrasonic examinative in the choice of incision of minicholecystectomy / 中国微创外科杂志

ABSTRACT

Ojective To investigate the value of preoperative B-type ultrasonicd examination in the choice of incision of minicholecystectomy. Methods Before performing minicholecystectomy the size of gallbladder and the thickness of abdominal wall measured by B-type ultrasonography the projections postion of gallbladder bottom and neck on abdominal wall were marked in 95 patlents. Results The incision of 82 cases were determined by the linea formed with linking the projection of gallbladder bottom to neck on abdominal wall. The procedure with two aperture was chosen in 11 cases and the incision was extended in 2 cases out of them. The operation visual field was clear and common bile duct and hepatic artery and port vein could be differentiated. The incidenec of complications was 5.3%(5/95) and no severe complication occurred. Conclusions Preoperative B-type ultrasonogrophy is a simple and effective method for the choice of incision of minicholecystectomy in the term of individuation