Three-dimensional visualization technology in the diagnosis and treatment of malignant tumor in the hilar bile duct to the upper segment of common bile duct

2017 ◽  
Vol 3 (4) ◽  
pp. 164
Author(s):  
Weidong Di ◽  
Yanping He ◽  
Yanzhong Zhang ◽  
Jianghuai Li
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Malignant Tumor ◽  
Three Dimensional ◽  
Diagnosis And Treatment ◽  
Hilar Bile Duct ◽  
Visualization Technology

Gallstones and Biliary Tract Emergencies

2020 ◽  
Author(s):  
Luis F. Lobon ◽  
Michael Billington
Keyword(s):  
Abdominal Pain ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Acute Cholecystitis ◽  
Biliary Tract ◽  
Bile Ducts ◽  
Gallbladder Disease ◽  
Diagnosis And Treatment ◽  
Hepatic Bile ◽  
Ascending Cholangitis

Patients with diseases of the biliary tract (which includes the hepatic bili canaliculi, hepatic bile ducts, common bile duct, and gallbladder) typically present with symptoms that include abdominal pain, nausea, vomiting, and jaundice. This review covers the pathophysiology, assessment and stabilization, diagnosis and treatment, and disposition and outcomes for common biliary tract emergencies (cholelithiasis, acute cholecystitis, choledocholithiasis, and ascending cholangitis).  This review contains 5 figures, 11 tables, and 34 references. Keywords: Cholelithiasis, gallbladder disease, acute cholecystitis, gallstones, choledocholithiasis, ascending cholangitis

scholarly journals FIBROCHOLODOSCOPY IN DIAGNOSTICS AND TREATMENT OF COMPLEX FORMS OF CHOLEDOCHOLITHIASIS

2019 ◽  
Vol 21 (1) ◽  
pp. 43-46
Author(s):  
K V Pavelets ◽  
A K Ushkats ◽  
D V Gacko
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Tract ◽  
Surgical Procedures ◽  
Bile Ducts ◽  
Diagnosis And Treatment ◽  
The Common ◽  
Complex Forms

Relevance of the topic: endoscopic intraoperative choledochoscopy with traditional surgical procedures is a highly informative research in the diagnosis and treatment of choledocholithiasis. Objective: to evaluate the effectiveness of intraoperative use of fibrocholedochoscopy in the diagnosis and treatment of "complex" forms of choledocholithiasis. Materials and methods: Between 2011 and 2017, 88 patients underwent treatment for "complicated" forms of choledocholithiasis using intraoperative fibrocholedochoscopy. Results: after dissection of the choledochal wall and extraction of large concrements from the lumen, a fibrocholedochoscopy was performed. The fibrocholedochoscope was inserted into the lumen of the common bile duct through a formed opening with examination of the biliary tract. An obligatory condition for assessing the permeability of the distal sections of the bile ducts was the carrying out of an endoscope through the OBD zone. The remaining remaining calculi were recovered with the help of Dormia baskets (15 (17%) cases). In 86 (97.7%) patients, the operation is completed by the imposition of a hollow stitch of choledoch (priority reference No. 2018122530, 2018). Conclusion: fibrocholedochoscopy in the treatment of complex forms of choledocholithiasis allows to methodically evaluate the biliary tract, perform lithoextraction from the proximal and distal sections.

Therapeutic Images of CT Image Analysis Based on 3D Visualization Technology in Patients with Hepatobiliary Stones

2020 ◽  
Vol 10 (9) ◽  
pp. 2101-2105
Author(s):  
Jingqin Cao ◽  
Defen Zhang ◽  
Yanxiao Yue ◽  
Yingchun Zhang ◽  
Huaizhuang Cai ◽  
...  
Keyword(s):  
Bile Duct ◽  
Blood Transfusion ◽  
Clearance Rate ◽  
Preoperative Planning ◽  
3D Visualization ◽  
Three Dimensional ◽  
Bile Duct Stones ◽  
Stone Clearance ◽  
Visualization Technology ◽  
Model Visualization

Objective: Paper for CT imaging in three-dimensional visualization technology for laparoscopy combined with biliary hard lens therapeutic clinical effect of extrahepatic bile duct stones were evaluated. Methods: Abdominal medical image 3D visualization software for our hospital CT imaging diagnosis and treatment of bile duct stones in 45 patients of bile duct stones three-dimensional visualization of clinical analysis and preoperative planning, and brought it into the operating room three-dimensional visualization model, guiding the implementation of the joint 3D laparoscopic biliary lithotripsy targeted hard lens. At the same time, as well as consistency with the actual hepatolithiasis distribution calculation operative 3D model visualization display; The operative time, bleeding, blood transfusion, stone clearance rate, morbidity and mortality perioperative after review stone recurrence rate was observed. Results: reproducing a three-dimensional patient model visualization liver, intrahepatic vascular anatomy of the liver bile duct stones distributed, real intraoperative and preoperative displayed three-dimensional visualization model consistent, pre-operative manner consistent with preoperative planning. Operation time (125.9±21.2) minutes, blood loss (38.8±8.5) ml, no massive hemorrhage and blood transfusion; MRCP examination by stone clearance rate was 100%; 2 biliary injury, bile leakage 1 complication the rate was 6.7%; There were no perioperative deaths. Stone recurrence two cases, the recurrence rate of 4.4%. Conclusion: The three-dimensional visualization techniques may be implemented hepatolithiasis accurate assessment of preoperative, intraoperative guidance of laparoscopic, endoscopic biliary hard gravel, stone liver resection operation, help to improve stone clearance rate, guarantee operation safety.

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