The role of endoscopic retrograde cholangiopancreatography and cholangiography in the laparoscopic era

Annals of Surgery
J KormanJ Cohen

Abstract

The authors reviewed the results of endoscopic retrograde cholangiopancreatography (ERCP) and intraoperative cholangiography in a series of patients who underwent laparoscopic cholecystectomy. The indications for preoperative and postoperative ERCP and intraoperative cholangiography as adjuncts to laparoscopic cholecystectomy are evolving. The debate regarding the use of selective or routine intraoperative cholangiography has intensified with the advent of laparoscopic cholecystectomy. The authors reviewed the records of 343 consecutive patients who underwent laparoscopic cholecystectomy during a 1-year period. Historical, biochemical, and radiologic findings for the patients who underwent ERCP and intraoperative cholangiography were analyzed. Three hundred forty- three patients underwent laparoscopic cholecystectomy during the period reviewed. Preoperative ERCP was performed in 42 patients. Twenty-seven of these patients (64%) had common bile duct (CBD) stones, which were cleared with a sphincterotomy. Intraoperative cholangiography was performed for 101 patients (29%). Three cholangiograms had false- positive results (3%), leading to two CBD explorations, in which no CBD stones were found, and one normal ERCP. Six patients un...Continue Reading

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Citations

Oct 1, 2009·The Indian Journal of Surgery·Rajendra Desai, Bahaman N Shokouhi
Aug 3, 2010·International Journal of Surgery·Shailesh Mohandas, Ajo Kureekattu John
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·E Buscarini, L Buscarini
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Jan 6, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michele GrandeAttilio Maria Farinon
Nov 18, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·R GolubD Palmadessa
Apr 30, 2011·World Journal of Gastroenterology : WJG·Hussain Issa, Ahmed H Al-Salem
Apr 20, 2002·Surgical Endoscopy·H Ramesh
Jun 21, 2014·Gastroenterología y hepatología·Jose Bueno LledóRafael López Andújar
Jul 25, 2009·Digestive Diseases and Sciences·Matthew P SpinnFrank J Lukens
Feb 29, 2008·American Journal of Surgery·Kaori ItoEdward E Whang
Jan 9, 2003·Clinics in Liver Disease·Chuhan Chung, Alan L Buchman
Mar 26, 2004·American Journal of Surgery·Matthew S MetcalfeGuy J Maddern
Jul 1, 1997·Journal of Pediatric Surgery·K D NewmanG W Holcomb
Oct 26, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·N NugentK Mealy
Nov 2, 2005·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·U Lepner, V Grünthal
Dec 31, 1997·Journal of Clinical Gastroenterology·Q Q ContractorO M el-Essawy

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