A new method of preventing bile duct injury in laparoscopic cholecystectomy

World Journal of Gastroenterology : WJG
Fang XuDe-Zheng Xu

Abstract

Of all the complications of laparoscopic cholectecystomy, bile duct injury (BDI) is the most serious complication. The prevention of injury to the common bile duct (CBD) remains a significant concern in laparoscopic cholecystectomy (LC). Different kinds of methods have been advanced to avoid this injury but no single method has gained wide acceptance. Because of various limitations of current methodologies we began a study using cold light illumination of the extrahepatic biliary system (light cholangiography LCP) to better visualize this area and thereby reduce the risk of bile duct injury. Thirty-six patients with cholelithiasis were divided into two groups. Group I (16 cases) received LCP and group II (20 cases) received methelenum coeruleum cholangiography (MCCP). In group I cold light was used to illuminate the common bile duct by leading an optical fiber into the common duct with a duodenoscope at the time of LC. The light coming from the fiber in the CBD could clearly illuminate the location of CBD and hepatic duct establishing its location relative to the cystic duct. This method was compared with the dye injection technique using methelenum coeruleum. In group I thirteen cases were successfully illuminated and three fa...Continue Reading

References

Aug 29, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Y KurumiM Kodama
Jan 10, 2001·Surgical Endoscopy·A VezakisM J McMahon
Dec 31, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Juliane Bingener-CaseyKenneth R Sirinek
Apr 4, 2003·JAMA : the Journal of the American Medical Association·David R FlumThomas Koepsell
May 3, 2003·American Journal of Surgery·Jason R FrancoeurCharles H Scudamore
Jun 18, 2003·Surgical Endoscopy·P R Savassi-RochaA L S Rocha
Mar 26, 2004·American Journal of Surgery·Matthew S MetcalfeGuy J Maddern

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Citations

May 31, 2014·Biomedical Optics Express·Robert FrancisDuncan MacFarlane
Apr 27, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·P R de ReuverD J Gouma
Nov 7, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Li-Xia LiYong-Yang Li

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