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Role of Preoperative Endoscopic Retrograde Cholangiography in Laparoscopic Cholecystectomy
Author(s) -
OBATA Shinichiro,
ARAKI Keisuke,
MIZUTANI Junichi,
ARAI Mitsuhiro,
NAMIKAWA Kazuo,
FUJIOKA Yasunari,
MAEDA Kazuhiro,
KIMURA Keishi
Publication year - 1994
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1994.tb00657.x
Subject(s) - medicine , cholangiography , cholecystectomy , laparoscopic cholecystectomy , cystic duct , bile duct , radiology , general surgery , endoscopy , surgery
An endoscopic retrograde cholangiography (ERC) was performed in 303 patients before laparoscopic cholecystectory. The ERC was successful in 275 patients (90.8%). Common bile duct stones were diagnosed in 9 of 275 patients (3.3%). These had not been suspected on the basis of the clinical and laboratory data or ultrasonography results in 8 of them. An endoscopic papilotomy (EPT) was successful in all 9 patients with choledocholithiasis before laparoscopic cholecystectomy. Anatomical variations, such as origin of the cystic duct from the right or left hepatic duct and an accessory bile duct, were detected in 6 patients (2.2%). Preoperative ERC proved useful in determining the biliary anatomy or detecting unsuspected stones. (Dig Endosc 1994; 6 : 24–27)