| Intraoperative sonography of biliary tree during laparoscopic cholecystectomy. | |
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MedLine Citation:
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PMID: 8167876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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O Goletti; P Buccianti; L Decanini; P V Lippolis; R Spisni; M Chiarugi; E Cavina |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgical laparoscopy & endoscopy Volume: 4 ISSN: 1051-7200 ISO Abbreviation: Surg Laparosc Endosc Publication Date: 1994 Feb |
Date Detail:
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Created Date: 1994-06-01 Completed Date: 1994-06-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9107230 Medline TA: Surg Laparosc Endosc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 9-12 Citation Subset: IM |
Affiliation:
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Department of Emergency Surgery, University of Pisa, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Biliary Tract / ultrasonography* Cholangiography Cholecystectomy, Laparoscopic* Female Gallstones / radiography, ultrasonography Humans Intraoperative Period Male Middle Aged |
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