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Intraoperative Ultrasound During Laparoscopic Cholecystectomy: An Alternative to Cholangiography

  • Juaquito M. Jorge
  • Nathaniel J. Soper
Chapter

Abstract

Laparoscopic ultrasound is an effective diagnostic tool that can be utilized in a wide range of operations. A common use in general surgery is during laparoscopic cholecystectomy, in order to identify stones in the common bile duct (choledocholithiasis) and examine the anatomy of the biliary tree. Although intraoperative cholangiography has become the more pervasively utilized imaging modality for these purposes, ultrasound offers several advantages, including the absence of radiation and contrast dye exposure, faster scanning times, and superior cost-effectiveness, all while achieving an equivalent level of diagnostic accuracy. This chapter details the techniques necessary for performing ultrasound during laparoscopic cholecystectomy and describes the relevant literature pertaining to clinical outcomes and comparisons with intraoperative cholangiography.

Keywords

Laparoscopic ultrasound Laparoscopic ultrasonography Laparoscopic cholecystectomy Biliary imaging Intraoperative cholangiogram Common bile duct stones Choledocholithiasis Common bile duct injury 

Supplementary material

Video 5.1

Laparoscopic ultrasound (MP4 311539 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Juaquito M. Jorge
    • 1
  • Nathaniel J. Soper
    • 2
  1. 1.Department of SurgeryUniversity of South Florida, Tampa General HospitalTampaUSA
  2. 2.Department of SurgeryNorthwestern UniversityChicagoUSA

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