Document Detail


Intraoperative sonography of biliary tree during laparoscopic cholecystectomy.
MedLine Citation:
PMID:  8167876     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of routine cholangiography during laparoscopic cholecystectomy is still under debate. Previous reports have suggested that intraoperative sonography can replace cholangiography in the evaluation of common duct lithiasis during open cholecystectomy. The present study was performed to evaluate the possible role of sonography during laparoscopic cholecystectomy. Thirty patients underwent intraoperative sonography of the biliary tree during laparoscopic cholecystectomy. In cases with a diagnosis of common bile duct lithiasis, intraoperative cholangiography was performed. In 26 cases, sonography did not show the presence of stones; in three cases, stones were identified at both sonography and cholangiography; in one case, stones were diagnosed by sonography alone. In this last case, stones were confirmed on later review of cholangiogram. No complications related to the method were observed. We suggest that intraoperative sonography can represent an adequate substitute for intraoperative cholangiography as a screening procedure for stone identification during laparoscopic cholecystectomy.
Authors:
O Goletti; P Buccianti; L Decanini; P V Lippolis; R Spisni; M Chiarugi; E Cavina
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical laparoscopy & endoscopy     Volume:  4     ISSN:  1051-7200     ISO Abbreviation:  Surg Laparosc Endosc     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-06-01     Completed Date:  1994-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9107230     Medline TA:  Surg Laparosc Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  9-12     Citation Subset:  IM    
Affiliation:
Department of Emergency Surgery, University of Pisa, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biliary Tract / ultrasonography*
Cholangiography
Cholecystectomy, Laparoscopic*
Female
Gallstones / radiography,  ultrasonography
Humans
Intraoperative Period
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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