Laparoscopic ultrasonography as compared with static or dynamic cholangiography at laparoscopic cholecystectomy - A prospective multicenter trial

G. V. Stiegmann; N. J. Soper; C. J. Filipi; R. C. McIntyre; M. P. Callery; J. F. Cordova

doi:10.1007/BF00190157

Laparoscopic ultrasonography as compared with static or dynamic cholangiography at laparoscopic cholecystectomy - A prospective multicenter trial

G. V. Stiegmann, N. J. Soper, C. J. Filipi, R. C. McIntyre, M. P. Callery, J. F. Cordova

Research output: Contribution to journal › Article › peer-review

59 Scopus citations

Abstract

We compared laparoscopic ultrasonography (LICU) with static (S) or dynamic (D) cholangiography (IOC) for assessment of duct anatomy and calculi in 209 patients. LICU visualized ducts in 88% compared with 93% for IOC (P=0.046). Nineteen patients (9%) had stones: 17 were found by LICU (89%) and 10 (53%) by IOC (P=0.032). Time to perform LICU (7±3 min) was less than IOC (13±6 min) (P<0.0001). Time to perform SIOC (12±5 min) and DIOC (14±6 min) did not differ (P=0.48), nor did these tests differ in accuracy. LICU provided useful anatomical information but IOC better defined anatomic anomalies. LICU required less time but was less reliable at defining anatomy and complete duct visualization. LICU was more sensitive for stones. SIOC and DIOC did not differ objectively. LICU and IOC are complementary.

Original language	English (US)
Pages (from-to)	1269-1273
Number of pages	5
Journal	Surgical endoscopy
Volume	9
Issue number	12
DOIs	https://doi.org/10.1007/BF00190157
State	Published - Dec 1995
Externally published	Yes

Keywords

Cholangiography
Laparoscopic cholecystectomy
Operative ultrasound
Ultrasonography

ASJC Scopus subject areas

Surgery

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10.1007/BF00190157

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title = "Laparoscopic ultrasonography as compared with static or dynamic cholangiography at laparoscopic cholecystectomy - A prospective multicenter trial",

abstract = "We compared laparoscopic ultrasonography (LICU) with static (S) or dynamic (D) cholangiography (IOC) for assessment of duct anatomy and calculi in 209 patients. LICU visualized ducts in 88% compared with 93% for IOC (P=0.046). Nineteen patients (9%) had stones: 17 were found by LICU (89%) and 10 (53%) by IOC (P=0.032). Time to perform LICU (7±3 min) was less than IOC (13±6 min) (P<0.0001). Time to perform SIOC (12±5 min) and DIOC (14±6 min) did not differ (P=0.48), nor did these tests differ in accuracy. LICU provided useful anatomical information but IOC better defined anatomic anomalies. LICU required less time but was less reliable at defining anatomy and complete duct visualization. LICU was more sensitive for stones. SIOC and DIOC did not differ objectively. LICU and IOC are complementary.",

keywords = "Cholangiography, Laparoscopic cholecystectomy, Operative ultrasound, Ultrasonography",

author = "Stiegmann, {G. V.} and Soper, {N. J.} and Filipi, {C. J.} and McIntyre, {R. C.} and Callery, {M. P.} and Cordova, {J. F.}",

year = "1995",

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doi = "10.1007/BF00190157",

language = "English (US)",

volume = "9",

pages = "1269--1273",

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AU - Stiegmann, G. V.

AU - Soper, N. J.

AU - Filipi, C. J.

AU - McIntyre, R. C.

AU - Callery, M. P.

AU - Cordova, J. F.

PY - 1995/12

Y1 - 1995/12

N2 - We compared laparoscopic ultrasonography (LICU) with static (S) or dynamic (D) cholangiography (IOC) for assessment of duct anatomy and calculi in 209 patients. LICU visualized ducts in 88% compared with 93% for IOC (P=0.046). Nineteen patients (9%) had stones: 17 were found by LICU (89%) and 10 (53%) by IOC (P=0.032). Time to perform LICU (7±3 min) was less than IOC (13±6 min) (P<0.0001). Time to perform SIOC (12±5 min) and DIOC (14±6 min) did not differ (P=0.48), nor did these tests differ in accuracy. LICU provided useful anatomical information but IOC better defined anatomic anomalies. LICU required less time but was less reliable at defining anatomy and complete duct visualization. LICU was more sensitive for stones. SIOC and DIOC did not differ objectively. LICU and IOC are complementary.

AB - We compared laparoscopic ultrasonography (LICU) with static (S) or dynamic (D) cholangiography (IOC) for assessment of duct anatomy and calculi in 209 patients. LICU visualized ducts in 88% compared with 93% for IOC (P=0.046). Nineteen patients (9%) had stones: 17 were found by LICU (89%) and 10 (53%) by IOC (P=0.032). Time to perform LICU (7±3 min) was less than IOC (13±6 min) (P<0.0001). Time to perform SIOC (12±5 min) and DIOC (14±6 min) did not differ (P=0.48), nor did these tests differ in accuracy. LICU provided useful anatomical information but IOC better defined anatomic anomalies. LICU required less time but was less reliable at defining anatomy and complete duct visualization. LICU was more sensitive for stones. SIOC and DIOC did not differ objectively. LICU and IOC are complementary.

KW - Cholangiography

KW - Laparoscopic cholecystectomy

KW - Operative ultrasound

KW - Ultrasonography

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Laparoscopic ultrasonography as compared with static or dynamic cholangiography at laparoscopic cholecystectomy - A prospective multicenter trial

Abstract

Keywords

ASJC Scopus subject areas

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