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Laparoscopic Ultrasound for Assessment of the Common Bile Duct

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Laparoscopic Surgery of the Abdomen

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Conclusion

Laparoscopic ultrasonography has been dubbed the “stethoscope of the surgeon in the era of endoscopic surgery”28 and has been shown to be invaluable in settings other than during cholecystectomy. This advantage occurs because laparoscopy images the surfaces of structures, whereas ultrasonography allows visualization of structures deep to the visible surface. Most general surgeons are unfamiliar with ultrasound principles and practice. Given the large numbers of laparoscopic cholecystectomies performed on an annual basis, this procedure is the ideal springboard for learning laparoscopic ultrasound techniques. During laparoscopic cholecystectomy, intraoperative ultrasonography is a rapid, inexpensive, and reliable means of assessing the common bile duct for stones and dissection-pertinent anatomy. Ultrasonography and cholangiography are complementary techniques for screening the common bile duct during laparoscopic cholecystectomy. Both techniques should be available and used when indicated . Residency programs should expose trainees to both techniques to maximize the flexibility of the laparoscopic surgeon in coming years.

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Authors
  1. Nathaniel J. Soper
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Editor information

Editors and Affiliations

  1. Department of Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  2. General Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  3. St. Vincent’s Hospital and Health Center, Indianapolis, IN, 46260, USA

    Maurice E. Arregui MD (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound) (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound)

  4. Department of Surgery, Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  5. Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  6. Centennial Medical Center, Nashville, TN, 37203, USA

    Douglas O. Olsen MD (Attending Surgeon) (Attending Surgeon)

  7. Department of Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  8. General Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  9. Department of Surgery, Section of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA

    Nathaniel J. Soper MD (Professor) (Professor)

  10. Oregon Health & Sciences University, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  11. Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  12. Department of Colorectal Surgery, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

  13. Cleveland Clinic Florida, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

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© 2004 Springer-Verlag New York, Inc.

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Soper, N.J. (2004). Laparoscopic Ultrasound for Assessment of the Common Bile Duct. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_18

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  • DOI: https://doi.org/10.1007/0-387-21780-0_18

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-98468-1

  • Online ISBN: 978-0-387-21780-2

  • eBook Packages: Springer Book Archive

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