| Assessment of the biliary tract by ultrasonography and cholangiography during laparoscopic cholecystectomy: a prospective study. | |
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MedLine Citation:
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PMID: 10413748 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The introduction of laparoscopic cholecystectomy (Lap-chol) has induced routine cholangiography to map the biliary tree and identify common bile duct (CBD) stones. However, the use of more selective criteria for performing intraoperative cholangiography (IOC), drawbacks of IOC and experience with laparoscopic ultrasonography (LU) re-introduced intraoperative ultrasonography for the CBD. The purpose of this study was to compare the accuracy of LU and IOC to identify the anatomy of the CBD and the presence of stones. METHODS: A total of 50 unselected patients undergoing elective laparoscopic cholecystectomy were evaluated by LU and IOC. Stones were found in three patients by IOC and could be confirmed by ultrasonography and CBD exploration in two. RESULTS: Anatomic definition of the biliary tract and success of the procedure was better for LU (90 and 98%) than IOC (86 and 72%). CONCLUSION: For Surgical groups with experience in LU this technique appears to become the standard technique to identify the anatomy of the CBD and assessment of CBD stones. |
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Authors:
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H Rijna; Q A Eijsbouts; F Barkhof; L M de Brauw; M A Cuesta |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: European journal of ultrasound : official journal of the European Federation of Societies for Ultrasound in Medicine and Biology Volume: 9 ISSN: 0929-8266 ISO Abbreviation: Eur J Ultrasound Publication Date: 1999 May |
Date Detail:
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Created Date: 1999-10-15 Completed Date: 1999-10-15 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9440414 Medline TA: Eur J Ultrasound Country: IRELAND |
Other Details:
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Languages: eng Pagination: 127-33 Citation Subset: IM |
Affiliation:
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Vrije Universiteit Hospital, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Biliary Tract / radiography*, ultrasonography* Cholangiography* / methods Cholecystectomy, Laparoscopic* Female Gallstones / radiography, surgery, ultrasonography Humans Male Middle Aged Predictive Value of Tests Prospective Studies Ultrasonography, Doppler* / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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