Cholangiography and small duct injury

Routine vs ``on demand'' postoperative ERCP for small bile duct calculi detected at intraoperative cholangiography

“…The two groups were comparable for age and sex distribution (Table 1). Follow-up was available on all patients for a median period of 18 months (range, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] in group A and 33 months (range, 13-48) in group B. The median number of outpatient clinic visits was significantly greater in patients assigned to observation (group B) than in patients who learned routine ERCP (groups A) (5.5 vs 3, p ‫ס‬ 0.011).…”

Application of fluorescent cholangiography to single-incision laparoscopic cholecystectomy

“…Using only a preoperative intravenous ICG injection, surgeons can obtain a road map of the biliary tree in real time and at any time during dissection of the triangle of Calot. This may save time and avoid the potential risk of bile duct injury caused by the small incision to inject contrast material for conventional radiographic cholangiography [16,17].…”

Prospective randomized comparison of laparoscopic ultrasonography using a flexible-tip ultrasound probe and intraoperative dynamic cholangiography during laparoscopic cholecystectomy

“…All authors agree that the LIOU is noninvasive and has no adverse effects [2, 9, 15-17, 22, 32, 34, 41]. On the other hand, bile duct lesions resulted from the cholangiography itself have also been reported [25,35,38]. Ultrasonography required significantly less time to perform than cholangiography (7 versus 16 min, p < 0.001).…”