Exploracion de Vias Biliares

  • Upload
    chizona

  • View
    241

  • Download
    0

Embed Size (px)

Citation preview

  • 8/13/2019 Exploracion de Vias Biliares

    1/131

    ExploracI?n dE la V>a bIlIar y tratamIEnto dEla lItIasIs colEdocIana por V>a conVEncIonal

    fErnando galIndo G CGP @R, FG C@ O, @H CR A@@, b. A.

    !K @? @ HP B JBR@ K -?@ @: ? @H@@,@ ; BRB; @RB K BGN@. C G@ @ G @@, H@-

  • 8/13/2019 Exploracion de Vias Biliares

    2/132

    IV-448

    @ H G G?B@ G G@R@. JBR@ @N @HG B BG@-

    R@ @ @ HG S B @R BP @ K BH - @G GS G GN G@ @

    B @HGL P. E B?@- @ NG @ HPG G ?R@ HP . AG?@ @P B BG@R@ H-G @G@ ?GK B @@ G -P, ?P K @@ ?@O B?@@ G

  • 8/13/2019 Exploracion de Vias Biliares

    3/133

    (F.1 A), ?@ @@ @ B G@ @; ?B @ B @ O K @ H G@ ?@ ?@- B B GB NG (F. 1 b); P@? LL @P @ B BG@R@ HN@- BKR@ NG HP G - B @? K @?

  • 8/13/2019 Exploracion de Vias Biliares

    4/134

    IV-448

    @. BB G @ G?K B @ - G@- N@ @ @

    G@ ?B G ?BQ@ G@?@ @N- G H, -R@ HP KG@ JBR@ @-G?@ G ?G- G GL K -G ?B B

  • 8/13/2019 Exploracion de Vias Biliares

    5/135

    1) ExploracI?n transc>stIca.

    JBR@ @P G@ H

  • 8/13/2019 Exploracion de Vias Biliares

    6/136

    IV-448

    B@L *@, @ D?, @ FK.

    b$(0$. @ @G?@ P @ G@ GHG@ B @. @ ? G B JBR@ O . E G @-?R@ HP . G@ GL @ ? L.E @H@@ G @ G J? ? K @ BG @G G@ BB, G JB b BG ?@.

    E6/+# #$ b*$ (F. 5). E JB b@ G@ HN ?, G B? B . H G @ R@ K SG BB K B @G. @ @ @ ?.@?@ G@

  • 8/13/2019 Exploracion de Vias Biliares

    7/137

    p #$ + $6/+"(

  • 8/13/2019 Exploracion de Vias Biliares

    8/138

    IV-448

    L @G BB @?@GL@ G@ @GO ?@ G GL B- G O @. E ?BL @GO B @ JB b BG S BG @G@ ?@R@ ? G@? G G B B BB. BG@ G: G @G BB, G @

    BG @G G G@ HP. E S?G G@ L@ ?@ @ ? L G.

    G BB @G B - G B @ G@ @G?@ B G-@; G@ @GO ?BG

  • 8/13/2019 Exploracion de Vias Biliares

    9/139

    B@B?@ L@: @?@ K G @P B? @ G@ @R KG @ ?KP .

    C?B? H@

  • 8/13/2019 Exploracion de Vias Biliares

    10/1310

    IV-448

    G@ ?@ 1,5 ?. .(F. 14 A). E G $ @ ? @H @ -? @G@ @ O K ?P G @ BG@ B R@@ (5/0). ?B? GG@K@ G (GR@ R) G@ BR@ @GB 30 ?3 G (F. 14 C). J N G@ K ?N B @ HP K B ?@. E @H@@

  • 8/13/2019 Exploracion de Vias Biliares

    11/1311

    HP @BN; JBR@ @G?@- ?B @G BB B G@ -@GO JB .. * G @ K @ KG@ HP .

    BR@ B@ @ @-

    BB?P. G@ @R@ G@ K G @ JB@ G 1 % B-@ B . G@?P @G@ S @ L@ @ @ BB. E@ F. 15 A H L@ @R@ K R@ BG@ B @ B ? G@ -. @ HL G@ G B HR@ - @ @ KG G@ @GO @ HP - @.. BB?P BG L @ GJ- G@ BBJ. E (F. 16) @ G@

    HN GH @ G@ @ G@ J? @ @ BG-@ @ @ ?N @ ?Q G

    G@ R@ @ HP . H R@H@@ @ ?Q : BGQ, ?@ K @.

    BB?P L @ BBJ ,

    @@ @ @ ? BH ?@ H@ @ BG@ @?@ K ?N @? . ? BG G

    B ?Q H.E G? G@ @ 3B G ?B B @ R@ @ - 11. JB G @ K ?@

    G@ @?@ @@. G@?P @ ? @H @

    B@: @@ ? ?@ ?G K S@ G@ G R@ @ 4 5/0 K B-?@ G@ B@ ?GG BG@ B. C-? J? G@ B@ @H@ G @- ?

  • 8/13/2019 Exploracion de Vias Biliares

    12/1312

    IV-448

    ?SB HP B@B B @ @R@ HR@ @ G @ J- NG K 70 Q) @ HL @-B @

  • 8/13/2019 Exploracion de Vias Biliares

    13/13

    bIblIograf>a

    1. AEE C, ! A, !AbE A**AMAA C,

    EE , $D , C BOG ?@ @BN K @ *H. A@. CG1999; 76: 142-146.

    2. CA* #: A@ HP . @ O. A@,1967: 54: 999.

    3. C!AEA ***A , A E, CAW C,*FF !, !E*ADE , C D, EDE F, *AA. C B? BRB O @ K @ @@BB. *H. A@. CG. 2003; 85: 150-155.

    4. C!E* A: bK . E@: E@ G B,E, CG A, . *. K A *; LJ, 3. .1995, 1175-1237.

    5. DEb*A C, bEAC F, *EA A, EACED : @@ O? B@?@@ G @ O? BB. *H.@@ 'B., 1965: 5: 985.

    6. EAA E: A @@ GK ( ). E.? & @, b? 1967

    7. FAA # # : A@ @ @ K ?@ P b b@@. (*). *H. A@. CG, 1989;. EJ.: 1-42.

    8. F*EEA E, *E # , F*A*$ C E, A!E #. LL K@?: G GH