Abstract：【Objective】To explore the clinical value of magnetic resonance cholangiopancreatography (MRCP) and intraoperative cholangiography (IOC) before laparoscopic cholecystectomy (LC).【Methods】A total of 70 patients with gallstones who underwent LC in our hospital from April 2015 to April 2017 were selected as the research objects. They were randomly divided into the observation group and the control group, with 35 cases in each group.LC was performed in both groups. Patients in the observation group received MRCP before operation, while patients in the control group received IOC during operation. After operation, the results of MRCP and IOC were compared between the two groups, including Mirizzi syndrome, right parahepatic duct, bile duct obliquely crossing the common hepatic duct and abnormal convergence of biliopancreatic duct. The perioperative clinical indexes including operation time, hospitalization time, biliary duct injury and conversion to laparotomy of the two groups were compared. The occurrence of postoperative complications in the two groups was recorded.【Results】 There were no significant differences in terms of Mirizzi syndrome, right parahepatic duct, bile duct obliquely crossing the common hepatic duct and abnormal convergence of biliopancreatic duct between the observation group and the control group (P>0.05).The operation time and hospitalization time of the observation group were shorter than those of the control group (P<0.05). Compared to the control group, the proportion of biliary tract injury and conversion to laparotomy in the observation group was not significantly different from the control group (P>0.05). The incidence of postoperative complications was 11.43% (4/35) in the observation group and 25.71% (9/35) in the control group, however, the difference was not statistically significant (χ2=2.362, P>0.05).【Conclusion】MRCP can diagnose patients accurately and noninvasively before operation, reduce the trauma of patients, shorten the time of operation and hospitalization, and avoid complications. It is worthy of clinical promotion.
季刚, 黄文磊, 曹华祥. 腹腔镜胆囊切除术前MRCP与术中胆道造影的临床价值[J]. 医学临床研究, 2020, 37(1): 74-76.
JI Gang, HUANG Wen-lei, CAO Hua-xiang. Clinical Value of Magnetic Resonance Cholangiopancreatography and Intraoperative Cholangiography before Laparoscopic Cholecystectomy. JOURNAL OF CLINICAL RESEARCH, 2020, 37(1): 74-76.
2020, Vol. 37 
