Surgery Today

, Volume 44, Issue 8, pp 1490–1495

A cystic duct with no visible signal on magnetic resonance cholangiography is associated with laparoscopic difficulties: an analysis of 695 cases

  • Yasuhito Shimizu
  • Taiichi Otani
  • Jun Matsumoto
  • Kijuro Takanishi
  • Tomohito Minami
  • Hiroko Tsunoda
  • Masaru Miyazaki
Original Article

DOI: 10.1007/s00595-013-0715-1

Cite this article as:
Shimizu, Y., Otani, T., Matsumoto, J. et al. Surg Today (2014) 44: 1490. doi:10.1007/s00595-013-0715-1
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Abstract

Background/aims

We investigated the association between the magnetic resonance cholangiography (MRC) results and surgical difficulties and bile duct injuries during laparoscopic cholecystectomy (LC).

Methods

MRC was performed on 695 consecutive patients before LC. We divided the patients into two groups (visible cystic duct group and “no signal” cystic duct on MRC group) and compared them with regard to the length of the operation, conversion rate to open cholecystectomy (OC) and rate of bile duct injury.

Results

The “no signal” cystic duct on MRC group had a longer operation and higher rate of conversion to OC compared with the visible cystic duct group. However, there was no statistically significant difference in the occurrence rate of bile duct injury between the two groups.

Conclusions

The “no signal” cystic duct on MRC group was associated with laparoscopic difficulties, but not with an increased rate of biliary injury. When a visible cystic duct is not observed on MRC an early conversion to open surgery may avoid a bile duct injury during LC.

Keywords

Laparoscopic cholecystectomyLaparoscopic difficultiesBile duct injuryMagnetic resonance cholangiography (MRC)

Abbreviations

LC

Laparoscopic cholecystectomy

OC

Open cholecystectomy

MRC

Magnetic resonance cholangiography

HASTE

Half-Fourier acquisition single-shot turbo spin-echo

CHD

Common hepatic duct

Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Yasuhito Shimizu
    • 1
    • 3
  • Taiichi Otani
    • 1
    • 4
  • Jun Matsumoto
    • 1
  • Kijuro Takanishi
    • 1
  • Tomohito Minami
    • 1
  • Hiroko Tsunoda
    • 2
  • Masaru Miyazaki
    • 5
  1. 1.Department of SurgeryTokyo Metropolitan Tama Medical HospitalTokyoJapan
  2. 2.Department of RadiologyTokyo Metropolitan Tama Medical HospitalTokyoJapan
  3. 3.Department of SurgeryChiba Municipal Aoba HospitalChibaJapan
  4. 4.Health Care CenterAsahikawa Red Cross HospitalAsahikawaJapan
  5. 5.Department of General Surgery, Graduate School of MedicineChiba UniversityChibaJapan