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The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy
BACKGROUND AND OBJECTIVE: Despite the numerous and often cited benefits of routine cholangiography during laparoscopic cholecystectomy, universal application of this technique has not been realized. Surgeons who advocate selective cholangiography cite the extra cost, the low yield of unanticipated f...
Autores principales: | , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2001
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015442/ https://www.ncbi.nlm.nih.gov/pubmed/11548831 |
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author | Cudjoe, Ernest A. Edoga, John K. Chattar, Deowall |
author_facet | Cudjoe, Ernest A. Edoga, John K. Chattar, Deowall |
author_sort | Cudjoe, Ernest A. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVE: Despite the numerous and often cited benefits of routine cholangiography during laparoscopic cholecystectomy, universal application of this technique has not been realized. Surgeons who advocate selective cholangiography cite the extra cost, the low yield of unanticipated findings, and the marked increase in the duration of the operation when cholangiography is added to laparoscopic cholecystectomy. We present our experience with preview cholangiography and compare it with the transcystic-duct approach. METHODS: We attempted preview cholangiograms on 11 consecutive patients undergoing laparoscopic cholecystectomy. Successful cholangiography was determined by using established radiologic criteria. RESULTS: Preview cholangiogram was successful in all 11 patients. No complications occurred. The average time required was 110 seconds. The mean operating time was 52 minutes. These times are far better than our best accomplishments using the cystic duct cannulation method for cholangiography (mean cholangiogram time, 22 minutes, and mean operative time, 75 minutes) following the first 100 cases. CONCLUSIONS: Preview cholangiography is a safe, relatively easy, quick method for outlining the anatomy of the extrahepatic biliary tree prior to dissection necessary to remove the gallbladder with laparoscopic techniques. The ease of this approach should result in more widespread use of cholangiography during laparoscopic cholecystectomy. |
format | Text |
id | pubmed-3015442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2001 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30154422011-02-17 The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy Cudjoe, Ernest A. Edoga, John K. Chattar, Deowall JSLS Scientific Papers BACKGROUND AND OBJECTIVE: Despite the numerous and often cited benefits of routine cholangiography during laparoscopic cholecystectomy, universal application of this technique has not been realized. Surgeons who advocate selective cholangiography cite the extra cost, the low yield of unanticipated findings, and the marked increase in the duration of the operation when cholangiography is added to laparoscopic cholecystectomy. We present our experience with preview cholangiography and compare it with the transcystic-duct approach. METHODS: We attempted preview cholangiograms on 11 consecutive patients undergoing laparoscopic cholecystectomy. Successful cholangiography was determined by using established radiologic criteria. RESULTS: Preview cholangiogram was successful in all 11 patients. No complications occurred. The average time required was 110 seconds. The mean operating time was 52 minutes. These times are far better than our best accomplishments using the cystic duct cannulation method for cholangiography (mean cholangiogram time, 22 minutes, and mean operative time, 75 minutes) following the first 100 cases. CONCLUSIONS: Preview cholangiography is a safe, relatively easy, quick method for outlining the anatomy of the extrahepatic biliary tree prior to dissection necessary to remove the gallbladder with laparoscopic techniques. The ease of this approach should result in more widespread use of cholangiography during laparoscopic cholecystectomy. Society of Laparoendoscopic Surgeons 2001 /pmc/articles/PMC3015442/ /pubmed/11548831 Text en © 2001 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Cudjoe, Ernest A. Edoga, John K. Chattar, Deowall The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title | The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title_full | The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title_fullStr | The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title_full_unstemmed | The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title_short | The Advantages of Preview Cholangiography During Laparoscopic Cholecystectomy |
title_sort | advantages of preview cholangiography during laparoscopic cholecystectomy |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015442/ https://www.ncbi.nlm.nih.gov/pubmed/11548831 |
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