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A Catheter Devised for Intraoperative Cholangiography during Laparoscopic Cholecystectomy
Author(s) -
YUNOTANI Seiji,
HAMAMOTO Takahiro,
SAMEJEMA Ryuichiro,
HISATSUGU Takeharu
Publication year - 1995
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.1443-1661.1995.tb00159.x
Subject(s) - medicine , catheter , cystic duct , surgery , endoscopic retrograde cholangiopancreatography , cholecystectomy , laparoscopic cholecystectomy , cholangiography , clipping (morphology) , bile duct , tube (container) , biliary tract , common bile duct , mechanical engineering , linguistics , philosophy , pancreatitis , engineering
A catheter devised to facilitate intraoperative cholangiography (IC) during laparoscopic cholecystectomy (lapcholy) is herein introduced. It is a polyethylene tube connected to a 10 mm stainless‐steel tube with an adjustable, pliable guiding sheath. The catheter allowed for accurate and easy cannulation of the cystic duct, as well as tight clipping of the cystic duct. Removal of the guiding sheath after clipping decreased the tension on the polyethylene tube, thereby giving natural biliary tract findings. We describe, herein, our experience with this instrument. The mean duration of IC during lapcholy, including developing time, was only about 10 minutes. This catheter made the intraoperative administration of IC more rapid and reliable, thus markedly reducing the duration of surgery. As a result, preoperative application of ERCP (endoscopic retrograde cholangiopancreatography), which used to be applied to all patients undergoing lapcholy, is now limited to selected cases.