Clinical Research of Changes of Extrahepatic Bile Duct Diameter Before and after Laparoscopic Cholecystectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Hao , TIAN Jianwei , LI Jianhua

Department of General Surgery, Xinxiang Central Hospital, Henan Province, Xinxiang 453000, ChinaCorresponding Author: CHEN Hao, E-mail: xxchenh@sina.com;

Corresponding author：

Keywords：

Laparoscopic cholecystectomy; Extrahepatic bile duct; Diameter

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Objective　 To explore the diameter change of the extrahepatic bile duct before and after laparoscopic cholecystectomy (LC).
Methods 　From Jan. 2006 to Dec. 2007， 113 patients including chronic gallstone cholecystitis （n=55）, inactive cholecystolithiasis （n=46） and gallbladder polyps （n=12） were collected and treated by LC. The diameters of their extrahepatic bile ducts were measured by B ultrasonography before operation， 3 months and 6 months after operation. These data were collected and analyzed retrospectively.
Results 　The diameters of the extrahepatic bile ducts of all patients before LC， 3 months and 6 months after LC were (5±2) mm, (8±2) mm and (6±2) mm respectively. And in chronic gallstone cholecystitis patients they were (5±2) mm, (9±2) mm and (6±2) mm respectively， in inactive gallstone cholelithiasis patients they were (5±2) mm, (8±2) mm and (6±2) mm respectively， and in gallbladder polyps ones they were (5±2) mm, (7±2) mm and (5±2) mm respectively.
Conclusion 　The change of the extrahepatic bile duct diameter after LC is a dynamic process. It is enlarged on the third month after operation than before operation. In the sixth month after operation marked retraction occurs, and compared with before operation, it shows no obvious statistic significance.

Citation： CHEN Hao,TIAN Jianwei,LI Jianhua. Clinical Research of Changes of Extrahepatic Bile Duct Diameter Before and after Laparoscopic Cholecystectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(10): 768-770. doi: Copy

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16.	宁殿宾，曹文庆, 赵玉哲. 胆囊结石与胆囊收缩素及其受体的关系研究 [Ｊ]. 现代中西医结合杂志， 2007; 16(9)∶1157.
17.	孙登群，孟翔凌. 胆囊收缩素在糖尿病并发胆囊结石中的地位与作用 [Ｊ]. 中国普外基础与临床杂志， 2006; 13(4)∶406.
18.	朱铭岩，王志伟，陈锦鹏, 等. 胆囊结石患者CCK受体mRNA测定的临床意义 [Ｊ]. 肝胆胰外科杂志, 2004； 16(4)∶255.
19.	曹月敏，宁殿宾，张万星, 等. 胆囊结石与胆囊收缩素受体(CCK-A)和血管活性肠肽(VIP)的关系研究 [Ｊ]. 中国微创外科杂志, 2005; 5(10)∶868.
20.	McDonnell CO, Bailey I, Stumpf T, et al. The effect of cholecystectomy on plasma cholecystokinin [Ｊ]. Am Gastroenterol, 2002; 97(9)∶2189.
21.	Bistritz L, Bain VG. Sphincter of Oddi dysfunction: managing the patient with chronic biliary pain [Ｊ]. World J Gastroenterol, 2006; 12(24)∶3793.

1. 　巴明臣，黄祥成. 我国胆道外科的现状及未来 [Ｊ]. 中国普外基础与临床杂志， 2005; 12(6)∶628.
2. 　张朝佑主编. 人体解剖学 [M]. 第2版. 北京：人民卫生出版社， 1998∶404.
3. 　吴在德主编. 外科学 [M]. 第7版. 北京：人民卫生出版社， 2008∶535.
4. 　Wu CC, Ho YH, Chen CY. Effect of aging on common bile duct diameter: a real-time ultrasonographic study [Ｊ]. J Clin Ultrasound, 1984; 12(8)∶473.
5. 　Strunk H, Textor J. Erkrankungen der Gallenwegw [Ｊ]. Leber Magen Darm, 1999; 29∶123.
6. 　Barthet M, Spinoza S, Affriat C, et al. Influence of age and biliary lithiasis on the diameter of the common bile duct [Ｊ]. Gastroenterol Clin Biol, 1995; 19(2)∶156.
7. 　Niederau C, Müller J, Sonnenberg A, et al. Extrahepatic bile ducts in healthy subjects, in patients with cholelithiasis, and in postcholecystectomy patients: a prospective ultrasonic study [Ｊ]. J Clin Ultrasound, 1983; 11(1)∶23.
8. 　Majeed AW, Ross B, Johnson AG. The preoperatively normal bile duct does not dilate after cholecystectomy: results of a five year study [Ｊ]. Gut, 1999; 45(5)∶741.
9. 　Skalicky M, Dajcman D, Hojs R. Effect of cholecystectomy for gallstones on the surface of the papilla of Vater and the diameter of the common bile duct [Ｊ]. Eur J Gastroenterol Hepatol, 2002; 14(4)∶399.
10. 　钱章选, 朱火根. 胆囊切除术后胆总管直径变化的临床观察 [Ｊ]. 临床医学, 2004; 24(12)∶29.
11. 　Wachsberg RH. Respiratory variation of extrahepatic bile duct diameter during ultrasonography [Ｊ]. Ultrasound Med, 1994; 13(8)∶617.
12. 　蔡秀军, 祝子逸. 胆囊切除术后Oddi括约肌功能紊乱的诊断与治疗 [Ｊ]. 中国实用外科杂志, 2007; 27(6)∶438.
13. 　Avisse C, Flament JB, Delattre JF. Ampulla of Vater. Anatomic, embryologic, and surgical aspects [Ｊ]. Surg Clin North Am, 2000; 80(1)∶201.
14. 　吴文涌，孟翔凌，徐阿曼. 胆管结石患者Oddi括约肌CCK受体与血CCK水平的意义 [Ｊ]. 安徽医科大学学报, 2005; 40(4)∶338.
15. 　翟秀兰, 郝美金, 刘欣, 等. 胆囊结石与胆囊动力学相关的研究 [Ｊ]. 河北医科大学学报, 2007; 28(1)∶45　.
16. 　宁殿宾，曹文庆, 赵玉哲. 胆囊结石与胆囊收缩素及其受体的关系研究 [Ｊ]. 现代中西医结合杂志， 2007; 16(9)∶1157.
17. 　孙登群，孟翔凌. 胆囊收缩素在糖尿病并发胆囊结石中的地位与作用 [Ｊ]. 中国普外基础与临床杂志， 2006; 13(4)∶406.
18. 　朱铭岩，王志伟，陈锦鹏, 等. 胆囊结石患者CCK受体mRNA测定的临床意义 [Ｊ]. 肝胆胰外科杂志, 2004； 16(4)∶255.
19. 　曹月敏，宁殿宾，张万星, 等. 胆囊结石与胆囊收缩素受体(CCK-A)和血管活性肠肽(VIP)的关系研究 [Ｊ]. 中国微创外科杂志, 2005; 5(10)∶868.
20. 　McDonnell CO, Bailey I, Stumpf T, et al. The effect of cholecystectomy on plasma cholecystokinin [Ｊ]. Am Gastroenterol, 2002; 97(9)∶2189.
21. 　Bistritz L, Bain VG. Sphincter of Oddi dysfunction: managing the patient with chronic biliary pain [Ｊ]. World J Gastroenterol, 2006; 12(24)∶3793.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Research of Changes of Extrahepatic Bile Duct Diameter Before and after Laparoscopic Cholecystectomy

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