| Value of contrast-enhanced magnetic resonance cholangiography in patients undergoing laparoscopic cholecystectomy. | |
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MedLine Citation:
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PMID: 15956896 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Laparoscopic cholecystectomy (LC) is the preferred treatment for symptomatic gallstone disease. Biliary injury during LC is still a serious problem. Knowledge of anatomic detail is important for not encountering the injury. Magnetic resonance cholangiography (MRC) is a noninvasive method for imaging the biliary ducts. However, MRC has many drawbacks such as not showing anatomic structures in detail and respiratory motion. In this study, contrast-enhanced MRC was used to show cystic ducts that are not seen on MRC. Reasons for patient referral for MRC and contrast-enhanced MRC included suspicion of cholecystolithiasis, adenomyomatosis, and gallbladder polyp. Our results show that routine MRC revealed cystic ducts in 38 patients (77.5%) and contrast-enhanced MRC in 46 patients (93.8%). Intraoperative cholangiography (IOC) was taken as gold standard for all patients. We found that contrast-enhanced MRC can provide a useful supplement to MRC in patients with cystic ducts not seen on MRC. To our knowledge, this is the first study of visualization of a cystic duct in patients undergoing LC depicted by both MRC and contrast-enhanced MRC. |
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Authors:
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Hakan Mutlu; C Cinar Basekim; Emir Silit; Zekai Pekkafali; Cengiz Erenoglu; Mecit Kantarci; A Fevzi Karsli; Esref Kizilkaya |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgical laparoscopy, endoscopy & percutaneous techniques Volume: 15 ISSN: 1530-4515 ISO Abbreviation: Surg Laparosc Endosc Percutan Tech Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-06-15 Completed Date: 2005-11-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100888751 Medline TA: Surg Laparosc Endosc Percutan Tech Country: United States |
Other Details:
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Languages: eng Pagination: 133-6; discussion 136-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, Gulhane Military Medical Academy, Haydarpasa Teaching Hospital, Istanbul, Turkey. hmutlu@hpasa.gata.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cholangiography / methods* Cholecystectomy, Laparoscopic* Cholecystolithiasis / surgery Cystic Duct / radiography Female Humans Image Enhancement* Intraoperative Period Magnetic Resonance Imaging* Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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