Abstract
The purpose of this study was to compare laparoscopic intracorporeal ultrasound (LICU) examination of the biliary duct system with cholangiography for delineation of duct anatomy and determination of presence or absence of ductal calculi. Thirty-one patients had LICU examination of the extrahepatic bile ducts after exposure of the gallbladder but prior to dissection of the cystic duct. After LICU examination, cystic duct dissection and cholangiography were done. Evaluation of duct anatomy and decision for duct exploration were based on findings of both tests. All patients had successful LICU examination and 30 had successful cholangiography. Duct size as determined by LICU corresponded precisely with cholangiography. LICU provided useful anatomical information in two patients with aberrant anatomy and detected choledocholithiasis in five, one of whom had a negative cholangiogram. LICU aids in delineation of biliary duct anatomy and accurately determines presence or absence of duct calculi.
Similar content being viewed by others
References
Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1: 307–310
Jakimowicz J (1991) Intraoperative and postoperative biliary endoscopy: intraoperative ultrasonography and sonography during laparoscopic cholecystectomy. Probl Gen Surg 8: 442–457
Jakimowicz J, Rutten H, Jurgens P, et al (1987) Comparison of operative ultrasonography and radiology in screening of the common bile duct for calculi. World J Surg 11: 628–634
Lee S, Nicholls J, Park H (1992) Biliary sludge as a cause of acute pancreatitis. New Engl J Med 326: 589–593
Machi J, Siegel B, Spigos J, et al (1983) Experimental assessment of imaging variables associated with operative ultrasonic and radiographic cholangiography. J Ultrasound Med 2: 535–538
Mosnier H, Audy J, Boche O, et al (1992) Intraoperative sonography during cholecystectomy for gallstones. Surg Gynecol Obstet 174: 469–473
Sigel B, Machi J, Beitler C, et al (1983) Comparative accuracy of operative ultrasonography and cholangiography in detecting common duct calculi. Surgery 94: 715–720
Yamamoto M, Stiegmann GV, Durhan J, et al (1993) Laparoscopy guided intracorporeal ultrasound accurately delineates hepatobiliary anatomy. Surg Endosc 7: 325–330
Yamashita Y, Kurohiji T, Kimitsuki H, et al (1991) A clinical experience of intraoperative ultrasound at laparoscopic cholecystectomy. Rinsho to Kenkyu 11: 259–264
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stiegmann, G.V., McIntyre, R.C. & Pearlman, N.W. Laparoscopic intracorporeal ultrasound. Surg Endosc 8, 167–172 (1994). https://doi.org/10.1007/BF00591824
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00591824