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BACKGROUND In the last decade, confocal laser endomicroscopy (CLE) has emerged as a newendoscopic imaging modality for real-time in vivo histological examination at themicroscopic level. CLE has been shown to be useful for distinguishing benign andmalignant lesions and has been widely used in many digestive diseases. In ourstudy, we used CLE for the first time to examine the morphology of cholesterolpolyps as well as the different parts of normal gallbladder mucosa.CASE SUMMARY A 57-year-old woman was diagnosed by ultrasound with a polyp of 21 mm in thegallbladder wall. She consented to polyp removal by laparoscopic choledochoscopy.During laparoscopic cholecystectomy combined with choledochoscopicpolyp resection, CLE was used to observe the morphology of the polyp surfacecells. The appearance of the mucosa and microvessels in various parts of thegallbladder were also observed under CLE. Through comparison betweenpostoperative pathology and intraoperative CLE diagnosis, the reliability ofintraoperative CLE diagnosis was confirmed. CLE is a reliable method to examineliving cell pathology during cholecystectomy. Based on our practice, CLE shouldbe prioritized in the diagnosis of gallbladder polyps.CONCLUSION Compared with traditional histological examination, CLE has several advantages.We believe that CLE has great potential in this field.
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篇名 Confocal laser endomicroscopy distinguishing benign and malignant gallbladder polyps during choledochoscopic gallbladderpreserving polypectomy:A case report
来源期刊 世界临床病例杂志 学科 医学
关键词 Confocal laser endomicroscopy LAPAROSCOPY CHOLEDOCHOSCOPE Gallbladder polyp DIAGNOSIS Case report
年,卷(期) 2020,(24) 所属期刊栏目
研究方向 页码范围 6358-6363
页数 6页 分类号 R73
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Confocal
laser
endomicroscopy
LAPAROSCOPY
CHOLEDOCHOSCOPE
Gallbladder
polyp
DIAGNOSIS
Case
report
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研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界临床病例杂志
半月刊
2307-8960
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
433
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1
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