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Radiology in laparoscopic cholecystectomy. A retrospective study

Leander, Peter LU ; Ekberg, Olle LU and Almqvist, P (1994) In Acta Radiologica 35(5). p.437-441
Abstract
Laparoscopic cholecystectomy (LC) is attempted in all our patients scheduled for cholecystectomy. The related standard radiologic procedures are preoperative ultrasonography (US) and preoperative cholangiography (PCA). In a retrospective study of 214 patients scheduled for LC over a 2-year period we have reviewed the radiologic and clinical records. Preoperative US revealed stones in the common bile duct (CBD) in 8 patients, all treated with endoscopic papillotomy before or after operation. PCA was successful in 176 patients (82%) and gave crucial information in 22 patients including 8 with stones in the CBD not preoperatively diagnosed, 6 with anomalous anatomy, and 8 with malpositioned surgical clip on the cystic duct. In 26 patients LC... (More)
Laparoscopic cholecystectomy (LC) is attempted in all our patients scheduled for cholecystectomy. The related standard radiologic procedures are preoperative ultrasonography (US) and preoperative cholangiography (PCA). In a retrospective study of 214 patients scheduled for LC over a 2-year period we have reviewed the radiologic and clinical records. Preoperative US revealed stones in the common bile duct (CBD) in 8 patients, all treated with endoscopic papillotomy before or after operation. PCA was successful in 176 patients (82%) and gave crucial information in 22 patients including 8 with stones in the CBD not preoperatively diagnosed, 6 with anomalous anatomy, and 8 with malpositioned surgical clip on the cystic duct. In 26 patients LC was converted into open surgery, but in only one case due to CBD stone revealed at PCA. Seventeen patients had minor postoperative complications, all managed conservatively. We consider preoperative US and PCA appropriate radiologic investigations in conjunction with LC. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Radiologica
volume
35
issue
5
pages
437 - 441
publisher
John Wiley & Sons
external identifiers
  • pmid:8086249
  • scopus:0028501641
ISSN
1600-0455
language
English
LU publication?
yes
id
ceb21b5b-8ea7-48ce-9d2a-32081566f374 (old id 1108287)
date added to LUP
2008-07-23 16:53:54
date last changed
2017-01-01 07:21:40
@article{ceb21b5b-8ea7-48ce-9d2a-32081566f374,
  abstract     = {Laparoscopic cholecystectomy (LC) is attempted in all our patients scheduled for cholecystectomy. The related standard radiologic procedures are preoperative ultrasonography (US) and preoperative cholangiography (PCA). In a retrospective study of 214 patients scheduled for LC over a 2-year period we have reviewed the radiologic and clinical records. Preoperative US revealed stones in the common bile duct (CBD) in 8 patients, all treated with endoscopic papillotomy before or after operation. PCA was successful in 176 patients (82%) and gave crucial information in 22 patients including 8 with stones in the CBD not preoperatively diagnosed, 6 with anomalous anatomy, and 8 with malpositioned surgical clip on the cystic duct. In 26 patients LC was converted into open surgery, but in only one case due to CBD stone revealed at PCA. Seventeen patients had minor postoperative complications, all managed conservatively. We consider preoperative US and PCA appropriate radiologic investigations in conjunction with LC.},
  author       = {Leander, Peter and Ekberg, Olle and Almqvist, P},
  issn         = {1600-0455},
  language     = {eng},
  number       = {5},
  pages        = {437--441},
  publisher    = {John Wiley & Sons},
  series       = {Acta Radiologica},
  title        = {Radiology in laparoscopic cholecystectomy. A retrospective study},
  volume       = {35},
  year         = {1994},
}