| Three-dimensional demonstration of cystic duct by helical CT scanning. | |
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MedLine Citation:
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PMID: 12397715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: We evaluated the usefulness of helical CT scanning with drip-infusion cholangiography for the delineation of choleductal anatomy in preparation for laparoscopic cholecystectomy. METHODOLOGY: One hundred and five cases underwent laparoscopic cholecystectomy for cholecystolithiasis in our department from March 1993 to July 1998. Endoscopic retrograde cholangiography was carried out in 58 cases and helical CT scanning with drip-infusion cholangiography, including, three-dimensional CT in 31 cases. We, retrospectively, investigated three-dimensional helical CT scanning with drip-infusion cholangiography in the point of three-dimensional demonstration of cystic duct anatomy and try to classify the findings. RESULTS: Three-dimensional helical CT scanning with drip-infusion cholangiography visualized three-dimensional anatomy of the cystic duct clearly. For the detection of the biliary disease such as stones and polyps, however, endoscopic retrograde cholangiography is superior (sensitivity; 89.7%) to two-dimensional helical CT scanning with drip-infusion cholangiography (sensitivity; 64.5%) and three-dimensional helical CT scanning with drip-infusion cholangiography (sensitivity; 22.6%) except for large lesions. We have classified the three dimensional helical CT scanning with drip-infusion cholangiography findings in three types. CONCLUSIONS: Three-dimensional helical CT scanning with drip-infusion cholangiography is not only less invasive but also more useful for the delineation of three-dimensional anatomy of the bile duct. |
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Authors:
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Michiya Kobayashi; Kimio Matsuura; Keijiro Araki; Takeki Sugimoto; Shinichi Hamada; Toyokazu Akimori; Naoshige Tochika |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 49 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2002 Nov-Dec |
Date Detail:
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Created Date: 2002-10-25 Completed Date: 2003-03-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1491-5 Citation Subset: IM |
Affiliation:
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First Department of Surgery, Kochi Medical School, Nankoku 783-8505, Japan. kobayasm@kochi-ms.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bile Ducts, Intrahepatic
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radiography* Cholangiography Cholecystectomy, Laparoscopic Cholelithiasis / radiography*, surgery Humans Image Processing, Computer-Assisted Imaging, Three-Dimensional Retrospective Studies Sensitivity and Specificity Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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