DIE ROLLE DER I.V. CHOLANGIOGRAPHIE UND DER SONOGRAPHIE IN DER PRAOPERATIVEN DIAGNOSTIK VOR LAPAROSKOPISCHER CHOLEZYSTEKTOMIE

Translated title of the contribution: The role of iv cholangiography and ultrasonography in preoperative diagnosis before laparoscopic cholecystectomy

I. Lammer-Skarke, H. Helmberger, H. Feussner, A. Ungeheuer, P. Gerhardt

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

In a prospective clinical study the relevance of iv cholangiography and ultrasonography for preoperative diagnosis before laparoscopic cholecystectomy was assessed. Imaging of the common bile duct was realized successfully via iv cholangiography in 96.3% of all patients. Compared with ERCP, iv cholangiography diagnosis proved correct in 91.6% of all cases with pathological depiction of the common bile duct. Ultrasonography offered a sensitivity of 97.8% for assessing the common bile duct diameter. However, the distinction between intraductal concrements and artifacts caused by air superposition may be difficult. Iv cholangiography is the most sensitive and easy to realize diagnostic technique to identify concrements in the common bile duct. The results of this study indicate that a combined strategy of iv cholangiography and ultrasonography may replace ERCP for preoperative diagnosis before laparoscopic cholecystectomy, if there is a sufficient depiction of the common bile duct and without concrements in it.

Translated title of the contributionThe role of iv cholangiography and ultrasonography in preoperative diagnosis before laparoscopic cholecystectomy
Original languageGerman
Pages (from-to)133-138
Number of pages6
JournalRoFo Fortschritte auf dem Gebiete der Rontgenstrahlen und der Neuen Bildgebenden Verfahren
Volume161
Issue number2
StatePublished - 1994
Externally publishedYes

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