Laparoscopic ultrasonography-assisted complicated laparoscopic cholecystectomy.
- Author:
Ding LUO
1
;
Xunru CHEN
;
Shenghong LI
;
Jingxi MAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Bile Ducts, Extrahepatic; diagnostic imaging; Cholecystectomy, Laparoscopic; adverse effects; methods; Cystic Duct; diagnostic imaging; Female; Humans; Male; Middle Aged; Postoperative Complications; prevention & control; Ultrasonography
- From: Chinese Journal of Surgery 2002;40(6):417-419
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the role of laparoscopic ultrasonography(LUS) in prevention of bile duct injury(BDI) and residual common bile duct (CBD) calculi during complicated laparoscopic cholecystectomy (LC).
METHODSOne hundred and four cases of LC were defined complicated because of anatomic aberrance of the extrahepatic biliary system, unconfirmed exposed cystic duct, suspected CBD calculi or BDI, adhesion or inflammation in the Calot's triangle, acute cholecystitis, and atrophic gallbladder. LUS was performed to scan the extrahepatic bile duct. LC was carried out with assistance of the LUS.
RESULTSAssisted with the LUS demonstrated anatomic relationship between the extrahepatic bile duct and cystic infundibulum or cystic duct, 85 cases of LC were accomplished successfully. 19 were converted to open cholecystectomy because of LUS-indicated potential risk of BDI, CBD calculi, and suspected BDI.
CONCLUSIONSWith the extrahepatic bile duct visualized by LUS and contrast of the cystic infundibulum and cystic duct, operators can precisely identify the anatomic relationships between the cystic infundibulum, cystic duct and extrahepatic bile duct. Preoperatively unpredicted choledocholithiasis may be recognized.
