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OPERATIVE CHOLANGIOGRAPHY IN THE LAPAROSCOPIC ERA: A RETROSPECTIVE REVIEW OF THE QUALITY AND INTERPRETATION OF THIS INVESTIGATION
Author(s) -
Draganic Brian,
Perry Richard,
Gani Jon
Publication year - 1996
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 - 10.1111/j.1445-2197.1996.tb00693.x
Subject(s) - medicine , cholangiography , cystic duct , laparoscopic cholecystectomy , bile duct , gallbladder , cholecystectomy , common bile duct , radiology , common duct , general surgery , surgery
Background: Operative cholangiograms during the year of introduction of laparoscopic cholecystectomy were reviewed to examine their quality and interpretation. Methods: 149 operative cholangiogram films (34 open and 115 laparoscopic) were reviewed retrospectively by a panel and scored for their ability to demonstrate biliary anatomy and detect bile duct stones. Results: Cholangiography performed by the cystic duct was of similar quality, whether performed laparoscopically or open. Cholangiography via the cystic duct (conventional films) produces superior results for both anatomical delineation and detection of choledocholithiasis (80% adequate) than cholangiography performed by direct gallbladder puncture (29–35% adequate). Conclusion: There is no clear evidence to suggest that an intra‐operative specialist radiological review of cholangiograms performed by the cystic duct would improve the detection of bile duct stones.