دورية أكاديمية
Laparoscopic intracorporeal ultrasound versus fluoroscopic intraoperative cholangiography: after the learning curve.
| العنوان: | Laparoscopic intracorporeal ultrasound versus fluoroscopic intraoperative cholangiography: after the learning curve. |
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| المؤلفون: | Halpin VJ; Department of Surgery, Washington University School of Medicine, 660 S. Euclid Avenue, Box 8109, St. Louis, MO 63110, USA. halpinv@msnotes.wustl.edu, Dunnegan D, Soper NJ |
| المصدر: | Surgical endoscopy [Surg Endosc] 2002 Feb; Vol. 16 (2), pp. 336-41. Date of Electronic Publication: 2001 Nov 12. |
| نوع المنشور: | Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| مواضيع طبية MeSH: | Cholangiography/*methods , Fluoroscopy/*methods , Gallstones/*diagnostic imaging , Gallstones/*surgery , Laparoscopy/*methods, Cholecystectomy, Laparoscopic/methods ; Female ; Gallstones/diagnosis ; Humans ; Intraoperative Period/methods ; Male ; Middle Aged ; Prospective Studies ; Ultrasonography, Doppler/methods |
| مستخلص: | Background: The purpose of this study was to compare the results of laparoscopic intracorporeal ultrasound (LICU) to those of fluoroscopic intraoperative cholangiography (FIOC) during laparoscopic cholecystectomy (LC) after the initial learning curve for LICU. Methods: Data were prospectively collected on patients undergoing LC. A consecutive series of 394 LICU patients was compared to a consecutive series of 400 FIOC patients when each imaging procedure was preferentially performed. Patients during the transition period, including the first 100 LICU patients, were excluded. Results: Demographics and preoperative diagnoses were similar in the two groups. Excluding those who were converted to open cholecystectomy and those in whom an imaging exam was not attempted, FIOC was successful in 361 of 374 (97%) patients and LICU was successful in 377 of 380 (99%) patients (p < 0.03). The mean times (+/-SEM) to complete FIOC and LICU were 16.0 (+/-0.5) min and 5.1 (+/-0.1) min (p < 0.0001), respectively, Choledocholithiasis was detected in 25 patients (7%) undergoing FIOC and in 39 patients (10%) undergoing LICU (p = 0.1). During LICU the common bile duct was visualized in continuity from the cystic duct to ampulla in 90% of cases. The common bile duct could not be completely visualized in continuity at the middle or distal portion of the common bile duct in 5% and 6% of LICU cases, respectively. One LICU patient (0.3%) with an incompletely visualized duct had a suspected stone confirmed by postoperative endoscopic retrograde cholangiopancreaticography (ERCP). One patient with negative FIOC (0.3%) had a retained stone treated by postoperative ERCP. Conclusion: LICU is safe and accurate, and it permits a more rapid evaluation of bile duct stones than FIOC during laparoscopic cholecystectomy. The false-negative rate of both imaging techniques is less than 1%. |
| تواريخ الأحداث: | Date Created: 20020423 Date Completed: 20020506 Latest Revision: 20161124 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1007/s00464-001-8325-1 |
| PMID: | 11967692 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-2218 |
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| DOI: | 10.1007/s00464-001-8325-1 |