Preoperative assessment for laparoscopic cholecystectomy: feasibility of using spiral computed tomography

Annals of Surgery
A H KwonY Kamiyama

Abstract

The authors investigated the preoperative feasibility of using spiral computed tomography (SCT) after intravenous infusion cholangiography (IVC-SCT) for laparoscopic cholecystectomy. In laparoscopic cholecystectomy, the aberrant or unusual anatomy of the bile duct and severe inflammation or adhesions around the gallbladder sometimes require a conversion to open surgery. Laparoscopic cholecystectomies (LC's) were attempted on 440 patients, and preoperative IVC-SCT also was attempted in all of these patients. Using this spiral scanning technique, the bile ducts, cystic duct, and gallbladder were assessed for contour abnormalities, relative position, and filling defects. Forty-seven patients were diagnosed with having stones in their common bile duct or common hepatic duct. Three-hundred eighty-seven patients out of the 440 patients (88.0%) who were subjected to IVC-SCT had the length and course of their cystic duct successfully determined. Anomalous unions of the cystic duct were seen in 59 (15.2%) of 387 patients with respect to the operative findings, and 48 of 440 patients (10.9%) had severe adhesions to Calot's triangle and the surrounding tissues. In these 48 patients, 45 patients (94%) had a nonvisualized cystic duct on IVC...Continue Reading

References

May 1, 1978·Archives of Surgery·L Y Cheung, F C Chang
Nov 11, 1992·Radiology·S NapelR B Jeffrey
Mar 1, 1992·The British Journal of Surgery·S Cheslyn-CurtisN A Habib
May 1, 1991·Pancreas·S Sherman, G A Lehman
Mar 1, 1991·American Journal of Surgery·E J ReddickW Saye
Mar 1, 1991·American Journal of Surgery·A CuschieriH Troidl
Jan 1, 1991·Gastrointestinal Endoscopy·B A SalkyS R Gorfine
Apr 18, 1991·The New England Journal of Medicine·UNKNOWN Southern Surgeons Club
Aug 1, 1991·Archives of Surgery·J M SackierM Paz-Partlow
Oct 1, 1991·Annals of Surgery·R W BaileyA L Imbembo
Jul 1, 1991·Annali italiani di chirurgia·R Vecchioni
Nov 1, 1990·Annals of Surgery·G Berci, J Sackier
Jan 1, 1990·Annals of Surgery·F DuboisH Levard
Sep 1, 1989·American Journal of Surgery·C K McSherry
Sep 1, 1989·Archives of Surgery·M D Pasquale, R J Nauta
Jan 1, 1988·Langenbecks Archiv für Chirurgie·M Raute, W Schaupp
Jan 1, 1985·Gastrointestinal Radiology·K S RhollJ K Lee
Feb 1, 1995·The British Journal of Surgery·A H KwonT Boku
Sep 1, 1993·The British Journal of Radiology·H M KleinR W Günther
Dec 1, 1993·Radiology·J P HeikenM W Vannier
Apr 1, 1993·Clinical Radiology·P DawsonI S Benjamin
Jul 1, 1992·Annals of the Royal College of Surgeons of England·A G JohnsonA W Majeed

❮ Previous
Next ❯

Citations

Sep 12, 2000·Current Gastroenterology Reports·S A Ahrendt
Jan 5, 2002·Journal of the American College of Surgeons·A H KwonY Kamiyama
Apr 29, 1998·Journal of Women's Health
Aug 29, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Y KurumiM Kodama
Dec 13, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Atsushi SasakiSeigo Kitano
Jun 15, 2006·World Journal of Surgery·A-Hon Kwon, Yoichi Matsui
Aug 19, 2006·ANZ Journal of Surgery·Yasumitsu HiranoShiro Takahashi
Feb 28, 2007·Journal of the American College of Surgeons·A-Hon Kwon, Hiroaki Inui

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

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

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.

Microbicide

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.