Premium
PERCUTANEOUS TRANSCHOLECYSTIC CHOLANGIOGRAPHY DURING LAPAROSCOPIC CHOLECYSTECTOMY
Author(s) -
Richardson Nigel G. B.,
Mcintosh Neil A.,
Sarre Richard G.
Publication year - 1999
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.1999.01611.x
Subject(s) - medicine , laparoscopic cholecystectomy , cholangiography , general surgery , percutaneous , cholecystectomy , percutaneous transhepatic cholangiography , radiology , surgery
Background : Controversy still exists regarding the role of routine cholangiography in laparoscopic cholecystectomy. Although the need to identify common bile duct stones is perhaps less critical than it was in the past, confirmation of anatomy by peroperative cholangiography is important for both clinical and medico‐legal purposes. Conventionally, contrast has been introduced into the biliary tree via the cystic duct after dissection of Calot’s triangle. Methods : A simple technique of cholangiography by direct gall‐bladder puncture is described, which can be done quickly and easily at the beginning of the operation. Results : The retrospective analysis of 250 consecutive cases shows the technique to be safe, accurate and to provide useful cholangiograms in 85% of cases. Conclusions : Percutaneous transcholecystic cholangiography can be performed readily without special equipment. It provides valuable anatomical information in 85% of cases before commencing dissection of the cystic duct.