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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

51 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 languageEnglish (US)
Pages (from-to)1269-1273
Number of pages5
JournalSurgical endoscopy
Volume9
Issue number12
DOIs
StatePublished - Dec 1 1995

Keywords

  • Cholangiography
  • Laparoscopic cholecystectomy
  • Operative ultrasound
  • Ultrasonography

ASJC Scopus subject areas

  • Surgery

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