Document Detail

The role of nuclear scintigraphy of suspected bile duct injury following laparoscopic cholecystectomy.
MedLine Citation:
PMID:  9007177     Owner:  NLM     Status:  MEDLINE    
Nuclear scintigraphy is a rapid and non-invasive tool for the diagnosis of suspected bile duct injury following laparoscopic cholecystectomy. We describe our experience with this technique in 19 out of more than 1,000 cases of laparoscopic cholecystectomy in our department. Of the five patients in whom nuclear scintigraphy revealed abnormalities, three showed bile leak to the peritoneum and underwent immediate laparotomy. Only one of these required choledochojejunostomy; in the others the leak would have closed spontaneously without surgery. In the remaining two patients there was apparently no passage to the duodenum on nuclear scintigraphy. Endoscopic retrograde cholangiopancreatography (ERCP) performed in one showed a normal bile duct. In the other patient, repeated scintigraphy done 12 h later, prior to ERCP, showed normal passage to the duodenum. Our experience indicates that laparotomy could have been avoided had ERCP been performed first. Therefore, we suggest that if nuclear scintigraphy fails to demonstrate passage to the bowel or shows a bile leak, ERCP is indicated.
D Ben Baruch; M Mobel; E Antebi
Related Documents :
12626867 - Results of treatment of extrahepatic cholangiocarcinoma at kaunas university of medicin...
8147777 - Bile leakage after laparoscopic cholecystectomy: biliary anatomy revisited.
2383747 - Management of the mirizzi syndrome and the surgical implications of cholecystcholedocha...
13662847 - Visualization of the biliary tract; preoperative and post-operative radiologic investig...
18037037 - Violent head trauma in china: report of 2254 cases.
9532867 - Glaucoma following congenital cataract surgery.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Israel journal of medical sciences     Volume:  32     ISSN:  0021-2180     ISO Abbreviation:  Isr. J. Med. Sci.     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-02-19     Completed Date:  1997-02-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0013105     Medline TA:  Isr J Med Sci     Country:  ISRAEL    
Other Details:
Languages:  eng     Pagination:  1306-8     Citation Subset:  IM    
Department of Surgery A, Rabin Medical Center, Petah Tikva, Israel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bile Ducts / injuries*
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic / adverse effects*
Intraoperative Complications / etiology*,  radionuclide imaging*,  surgery
Middle Aged

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

Previous Document:  Treatment decisions in thyroid surgery based upon ultrasonography.
Next Document:  Does lipid infusion affect bile composition in humans?