Improving the safety of laparoscopic cholecystectomy: the routine use of preoperative magnetic resonance cholangiography

Surgical Endoscopy
C AuschRudolf Schiessel


The aim of this study was to determine the value of routinely performed preoperative magnetic resonance cholangiography (MRC) in detecting common bile duct (CBD) stones in patients stated to undergo elective laparoscopic cholecystectomy. In addition, we used MRC to investigate possible variants of the cystic duct. Magnetic resonance cholangiography was performed preoperatively in 773 patients (311 male and 462 female; median age 55 years, range 16-91) who had no clinical signs of cholestasis prior to undergoing elective laparoscopic cholecystectomy. In cases where the MRC was positive for CBD stones, endoscopic retrograde cholangiopancreatiography (ERCP) was then performed. A total of 532 patients were available for continuous postoperatively follow-up (median 54 months, range 36-85). In 462 patients (247 female, and 215 male), MR images were also reviewed for variants of the cystic duct. In 705 patients (91%), MRC was negative for CBD stones. In 64 patients (9%) MRC was positive. Of these patients, 47 (6%) had CBD stones on ERCP. In 12 patients (2%), MRC was false positive. In five cases (0.6%), ERCP had an inconclusive result postoperative follow-up (532 patients, or 69%) revealed evidence of CBD stones in three patients (10....Continue Reading


Nov 1, 1992·World Journal of Surgery·N J Soper, D L Dunnegan
Mar 1, 1992·Annals of Surgery·A M DavidoffW C Meyers
Mar 1, 1992·Annals of Surgery·J L FlowersR W Bailey
Apr 18, 1991·The New England Journal of Medicine·UNKNOWN Southern Surgeons Club
Apr 1, 1991·The British Journal of Surgery·G McEnteeD Bouchier-Hayes
Jul 1, 1982·Current Problems in Surgery·R K Tompkins, H A Pitt
Oct 1, 1982·The British Journal of Surgery·P J DoyleA M Smith
Jun 1, 1993·The British Journal of Surgery·S A MitchellS Chadwick
Dec 1, 1996·AJR. American Journal of Roentgenology·F ReganT Magnuson
Dec 31, 1997·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C NiesM Rothmund
Mar 17, 1999·Journal of Magnetic Resonance Imaging : JMRI·F V Coakley, L H Schwartz
Jul 22, 1999·The New England Journal of Medicine·M A BarishJ T Ferrucci
Feb 7, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M A Turner, A S Fulcher
Feb 28, 2002·World Journal of Surgery·Michael UrbanHarald R Rosen
Jun 10, 2004·Langenbeck's Archives of Surgery·R Bittner

❮ Previous
Next ❯


Oct 3, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Emmanouil ZacharakisDimitrios Betsis
Jun 5, 2014·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Peixin LiJie Zhang
Dec 17, 2008·Langenbeck's Archives of Surgery·C A NebikerR Peterli
Feb 27, 2009·Journal of Magnetic Resonance Imaging : JMRI·Satoru MoritaNorio Mitsuhashi
Nov 5, 2014·Langenbeck's Archives of Surgery·Harald PuhallaNicholas O'Rourke
Jun 18, 2016·Radiology Research and Practice·Radha SarawagiSameer Raghuwanshi
Oct 19, 2016·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ankur GuptaVivek Anand Saraswat
Feb 27, 2015·The Cochrane Database of Systematic Reviews·Vanja GiljacaBrian R Davidson
Jun 12, 2009·British Journal of Hospital Medicine·Ahmad Al SamaraeeYan Yiannakou
Dec 4, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Matteo RenzulliRita Golfieri

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.