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

Surgical Endoscopy
C AuschRudolf Schiessel

Abstract

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

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Citations

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

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