Laparoscopic cholangiography: a prospective study

Sabharwal, Atul J.; Minford, Eunice J; Marson, Lorna; Muir, I. M.; Hill, David; Auld, C. D.

doi:10.1046/j.1365-2168.1998.00640.x

Cited by 20 publications

(19 citation statements)

References 20 publications

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“…This has led to the emergence of MRC as the tool of choice for suspected ductal stones, followed by ERCP for the clearance of confirmed ductal stones before surgery. In our series, 10% of the patients had no preoperative evidence of ductal stones, which compares with reports in the literature [12,13], one of which documented 11% silent CBD stones detected on IOC [14]. This remains a significant percentage of hospital admissions for calculus biliary disease and represents a failure in terms of preoperative CBD stone prediction and clearance.…”

Section: Discussionsupporting

confidence: 56%

Intraoperative cholangiography facilitates simple transcystic clearance of ductal stones in units without expertise for laparoscopic bile duct surgery

et al. 2007

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In this series, 10% of the abnormal cholangiograms occurred in patients without preoperative risk factors for bile duct stones. Altogether, 88 IOCs (31%) were cleared after either simple flushing or trawling with a Dormia basket. Formal LBDE was not required for 40% of abnormal cholangiograms. Simple transcystic manipulations to clear the bile ducts justify the use of routine IOC in units without laparoscopic biliary expertise.

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Section: Discussionsupporting

confidence: 56%

Intraoperative cholangiography facilitates simple transcystic clearance of ductal stones in units without expertise for laparoscopic bile duct surgery

et al. 2007

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“…Its safety and efficacy, as well as the advantages it offers patients, including a more rapid return of bowel function, a shorter hospital stay, a decrease in postoperative pain, better cosmesis, and an earlier return to normal daily activities, have been demonstrated in a number of studies [1,2,3,4,5,7,10,11,16,17,18,19]. One of these reports, published by Dashow et al in 1992, described the initial experience with this procedure at our own institution.…”

Section: Discussionmentioning

confidence: 84%

“…During the initial phase of learning, the attending surgeon acquires the skills and experience necessary to perform and to teach the procedure. This period is the wellknown learning curve, when substantial improvements are made in the conversion rate, complication rate, and operative time, as demonstrated by previous studies [1,2,3,4,5,7,16,17]. In the second phase, this knowledge is passed on from the attending surgeon to the residents.…”

Section: Discussionmentioning

confidence: 92%

Laparoscopic cholecystectomy in the new millennium

et al. 2001

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Since 1992, both the conversion rate and length of stay have declined at our hospital, but operative time has remained essentially the same. These findings probably reflect a bimodal learning curve, the increase in the number of cholangiograms and additional intraoperative procedures now performed, the greater severity of gallbladder disease currently treated with laparoscopic cholecystectomy, and increases in the number of attending physicians as well as the level of residents who perform this procedure.

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“…Intraoperative cholangiography also lengthens the operation time (26). On the other hand, performance and interpretation of intra-operative cholangiography should be taught to residents during their general surgery training (27)(28)(29)(30).…”

Section: D) What Is the Role Of Intraoperative Cholangiography In Lapmentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

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Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

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Laparoscopic cholangiography: a prospective study

Cited by 20 publications

References 20 publications

Intraoperative cholangiography facilitates simple transcystic clearance of ductal stones in units without expertise for laparoscopic bile duct surgery

Intraoperative cholangiography facilitates simple transcystic clearance of ductal stones in units without expertise for laparoscopic bile duct surgery

Laparoscopic cholecystectomy in the new millennium

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

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