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Spiral Computed Tomography Scanning After Intravenous Infusion Cholangiography For Biliary Duct Anomalies.

A. H. Kwon, S. Uetsuji, T. Ogura, Y. Kamiyama
Published 1997 · Medicine

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BACKGROUND Iatrogenic injury of the bile duct during cholecystectomy represents a failure of surgical technique, especially for laparoscopic surgery. Knowledge of the patient's individual ductal anatomy and anomalies preoperatively would be helpful in avoiding such injuries. Therefore, we investigated the anatomy of the biliary duct and any anomalies using spiral computed tomography (SCT) scanning following intravenous infusion cholangiography (IVC-SCT). MATERIALS Laparoscopic cholecystectomies (LC) were attempted on 437 patients at the Kansai Medical University. Preoperative IVC-SCT and laparoscopic cholangiography were attempted in all of the patients. RESULTS An overall anomalous union of the cystic duct was seen in 71 (16.2%) out of the 437 patients subjected to IVC-SCT. The following anomalies were observed: right hepatic duct entry in 7 cases (1.6%), parallel low entry in 17 cases (3.9%), posterior spiral entry in 35 cases (8.0%), anterior spiral entry in 7 cases (1.6%), and accessory duct entry in 5 cases (1.1%). The success rate for the LC was 99.5% (435/437). Three patients were switched to open surgery owing to advanced gallbladder cancer and severe adhesions. The success rate for the laparoscopic cholangiography was 97.2% (423 of 435). Intraoperative right hepatic duct injury occurred in only 1 patient with a bile duct anomaly, and it was repaired with laparoscopic T-tube drainage. CONCLUSIONS The preoperative examination of the biliary tract by IVC-SCT was technically simple, less invasive, and may helpful in avoiding damage to the bile duct, especially in patients with biliary duct anomalies.
This paper references
10.1097/00000658-199110000-00017
Laparoscopic cholecystectomy. Experience with 375 consecutive patients.
R. W. Bailey (1991)
10.1016/S0009-9260(05)81127-4
Intravenous cholangiography revisited.
P. Dawson (1993)
10.1097/00000658-197412000-00019
The Operative Cholangiogram:Its Interpretation, Accuracy and Value in Association with Cholecystectomy
J. S. C. MCCORMICK (1974)
10.1016/0002-9610(91)90603-B
The European experience with laparoscopic cholecystectomy.
A. Cuschieri (1991)
Routine operative cholangiography with cholecystectomy.
Stark Me (1980)
ACCESSORY BILE DUCTS: THEIR SIGNIFICANCE DURING CHOLECYSTECTOMY.
Moosman Da (1964)
10.1002/BJS.1800790855
Bile duct injury following laparoscopic cholecystectomy
Z. Rayter (1992)
10.1002/BJS.1800820241
Three‐dimensional reconstruction of the biliary tract using spiral computed tomography
A. H. Kwon (1995)
10.1002/BJS.1800790314
Case report. Bile duct injury following laparoscopic cholecystectomy
S. Cheslyn-Curtis (1992)
10.1001/ARCHSURG.1972.04180030050012
Anomalies of the biliary tree. Report of a repair of an accessory bile duct and review of the literature.
D. Goor (1972)
10.1001/ARCHSURG.1953.01260030616008
Anatomy of the biliary ducts within the human liver; analysis of the prevailing pattern of branchings and the major variations of the biliary ducts.
J. E. Healey (1953)
Operative biliary radiology
G. Berci (1981)
Variations in the formation and vascular relationships of the bile ducts.
Johnston Ev (1952)
10.1016/0002-9610(51)90309-1
Prevention of traumatic injury to the bile ducts; a study of the structures of the cystohepatic angle encountered in cholecystectomy and supraduodenal choledochostomy.
D. A. Moosman (1951)
10.1002/BJS.1800730524
Pre‐operative infusion cholangiography compared to routine operative cholangiography at elective cholecystectomy
G. Alinder (1986)
10.5555/URI:PII:003960607690221X
Editorial: A plea for a safer technique of cholecystectomy.
R. Hermann (1976)
The aberrant divisional bile duct: a surgical hazard.
E. Pollack (1973)
The developmental basis for bile duct anomalies.
Hayes Ma (1958)
LAPAROSCOPIC CHOLECYSTECTOMY, HISTORICAL PERSPECTIVE AND PERSONAL EXPERIENCE
F. Dubais (1991)
10.1002/BJS.1800781203
Iatrogenic injury to the bile duct
O. Garden (1991)
10.1148/RADIOLOGY.176.1.2353088
Spiral volumetric CT with single-breath-hold technique, continuous transport, and continuous scanner rotation.
W. Kalender (1990)
Bile duct diameter and diagnostic reliability at cholangiography.
B. Lundström (1979)



This paper is referenced by
10.1007/s00268-005-0413-2
Laparoscopic Cholecystectomy in Patients Aged 80 Years and Over
A. Kwon (2005)
10.1111/jgh.12128
Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma
R. Rerknimitr (2013)
10.1590/S0102-86502002000100005
Estudo anatomotopográfico das vias biliares extra hepáticas e do trígono cistohepático
J. Cavalcanti (2002)
10.5946/ce.2013.46.3.260
Technical Tips and Issues of Biliary Stenting, Focusing on Malignant Hilar Obstruction
Tae Hoon Lee (2013)
10.1016/j.suc.2008.07.007
An update on biliary imaging.
C. Wald (2008)
10.1007/s00268-001-0040-5
Laparoscopic management of bile duct and bowel injury during laparoscopic cholecystectomy
A.-Hon Kwon (2001)
10.1007/s00261-008-9416-4
Update on 3D and multiplanar MDCT in the assessment of biliary and pancreatic pathology
E. Tamm (2008)
10.4067/S0717-95022012000100050
Anatomic Variations of Extrahepatic Bile Ducts and Evaluation of the Length of Ducts Composing the Cystohepatic Triangle
E. Cachoeira (2012)
10.1111/j.1445-2197.2005.03396.x
EXTRAHEPATIC BILIARY ANATOMY AT LAPAROSCOPIC CHOLECYSTECTOMY: IS ABERRANT ANATOMY IMPORTANT?
M. Larobina (2005)
10.1002/CA.1028
Anatomical variations of the extrahepatic biliary tree: Review of the world literature
M. Lamah (2001)
10.1016/J.AMJSURG.2004.06.039
Preoperative assessment of the aberrant bile duct using multislice computed tomography cholangiography.
K. Izuishi (2005)
10.1016/J.TRANSPROCEED.2004.11.088
Computerized CT-Based 3D Visualization Technique in Living Related Liver Transplantation
J. Harms (2005)
10.1007/BF01631333
Congenital anatomical abnormalities of the extrahepatic biliary duct: a personal audit
M. Lamah (2005)
Journal of Experimental and Clinical Medicine Deneysel ve Klinik Tip Dergisi
Bülent Güngör (2010)
10.2214/AJR.184.1.01840070
Concordance of second-order portal venous and biliary tract anatomies on MDCT angiography and MDCT cholangiography.
J. Chen (2005)
10.2214/AJR.176.1.1760193
Impact of multidetector CT on donor selection and surgical planning before living adult right lobe liver transplantation.
I. Kamel (2001)
10.2214/AJR.174.2.1740487
Helical CT cholangiography with three-dimensional volume rendering using an oral biliary contrast agent: feasibility of a novel technique.
E. Caoili (2000)
10.1097/00129689-200104000-00012
Laparoscopic double cholecystectomy.
K. Yorgancı (2001)
10.1007/s00330-001-1188-y
Multislice CT cholangiography without biliary contrast agent: technique and initial clinical results in the assessment of patients with biliary obstruction
F. Zandrino (2001)
10.1016/J.JAMCOLLSURG.2004.03.018
Surgical procedures and histopathologic findings for patients with xanthogranulomatous cholecystitis.
A. Kwon (2004)
10.3919/JJSA.78.114
Two Cases of Extrahepatic Bile Duct Variants with Anomalous Union Diagnosed Using Drip Infusion Cholangiographic Computed Tomography
R. Kawai (2017)
10.1007/BF02950227
Laparoskopische Cholezystektomie und Choledochusrevision
A. Shamiyeh (2008)
10.1111/J.1440-1673.2006.01557.X
Spiral computed tomography-intravenous cholangiography with three-dimensional reconstructions for imaging the biliary tree.
E. Alibrahim (2006)
10.1007/s00464-012-2511-1
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)
M. Eikermann (2012)
10.3919/JJSA.59.1619
A CASE OF CHOLECYSTOLITHIASIS WITH THE ACCESSORY BILE DUCT
S. Yoshida (1998)
10.2214/AJR.175.4.1751141
Living adult right lobe liver transplantation: imaging before surgery with multidetector multiphase CT.
I. Kamel (2000)
10.1148/RADIOL.2303021775
Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodium-enhanced excretory MR, and multi-detector row CT cholangiography--initial experience.
B. Yeh (2004)
10.4030/JJCS1979.29.5_923
A Case of Biliary Fistula Successfully Treated by Absolute Ethanol Injection
K. Nakagawa (2004)
10.1007/s00464-002-4281-7
Use of multislice helical computed tomography cholangiography in the diagnosis of biliary disease
K. Izuishi (2002)
10.2214/AJR.185.1.01850247
Relationship between vascular and biliary anatomy in living liver donors.
D. Macdonald (2005)
10.5835/JECM.OMU.27.04.006
Kolesistektomide Biliyer ve Vasküler Anomalilere Bağlı Komplikasyon Riski Ne Zaman Artar
B. Güngör (2010)
10.4318/TJG.2011.0204
A newly defined biliary anatomic variation.
Irfan Koruk (2011)
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