Laparoscopic Ultrasound Feasibility And Effectiveness

BACKGROUND: This prospective study was done to assess the possibility of performing laparoscopic ultrasound during cholecystectomy and the accuracy as a diagnostic tool for the stone in the common bile duct MATERIALS AND METHODS: Seventy patient with gall stones were included in the study , patient with dilated bile duct with or without visible CBD stone were excluded? . RESULTS: The procedure was completed safely with 63 patient , in 48 patient the CBD was seen clearly and stone was delineated in three patient only. CONCLUSIONS: In our experience Intraoperative ultrasound could not give us a secure diagnosis of the CBD stone. This might be attributed to the learning curve, but despite of that there was the advantage of suspicious cases that were followed by ERCP .

[1]  Ya‐Wen Cheng,et al.  Assessment of Common Bile Duct Using Laparoscopic Ultrasound During Laparoscopic Cholecystectomy , 2009, Surgical laparoscopy, endoscopy & percutaneous techniques.

[2]  S. Mercer,et al.  Selective MRCP in the management of suspected common bile duct stones. , 2007, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[3]  D. Deziel,et al.  Laparoscopic ultrasound as the primary method for bile duct imaging during cholecystectomy , 2007, Surgical Endoscopy.

[4]  T. McCartney,et al.  Selective operative cholangiography in the performance of laparoscopic cholecystectomy , 2005, International journal of clinical practice.

[5]  M. Makary,et al.  The Role of Magnetic Resonance Cholangiography in the Management of Patients With Gallstone Pancreatitis , 2005, Annals of surgery.

[6]  C. Wells,et al.  Prediction of bile duct stones and complications in gallstone pancreatitis using early laboratory trends , 2001, American Journal of Gastroenterology.

[7]  S. Hochwald,et al.  Magnetic resonance cholangiopancreatography accurately predicts the presence or absence of choledocholithiasis , 1998, Journal of Gastrointestinal Surgery.

[8]  L. Traverso,et al.  Do preoperative indicators predict the presence of common bile duct stones during laparoscopic cholecystectomy? , 1996, American journal of surgery.

[9]  D. Lloyd,et al.  Selection criteria for preoperative endoscopic retrograde cholangiopancreatography in the laparoscopic era. , 1996, Archives of surgery.

[10]  C. Dotter,et al.  Complications of endoscopic retrograde cholangiopancreatography (ERCP). A study of 10,000 cases. , 1976, Gastroenterology.