Cost-effectiveness of operative cholangiography

Skillings, John C.; Williams, James S.; Hinshaw, J. Raymond

doi:10.1016/0002-9610(79)90006-0

Cited by 30 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The routine use of operative cholangiography for such screening purposes is still debatable. A high percentage of false-positive examinations can be encountered with this method [1,3,5], leading to a high incidence Reprint requests: J.J. Jakimowicz, M.D., Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands.…”

mentioning

confidence: 99%

Comparison of operative ultrasonography and radiography in screening of the common bile duct for calculi

et al. 1987

View full text Add to dashboard Cite

We report a 4-year experience of operative ultrasonography in 449 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative uttrasonography and intraoperative cholangiography were performed in all of these patients and compared with the operative findings. The diagnostic accuracy of sonography was 97.5% and that of chalangiography was 94.4% in the patient group as a whole. The predictive value of a positive sonogram in this group was 96.4%, while that of a positive cholangiogram was lower at 86.9%. In 148 patients who underwent surgical exploration of the common duct, sonography appeared to have more accurately predicted presence or absence of stones (92.5 %) than did cholangiography (79.8%). Use of these intraoperative screening tests together led to a positive common duct exploration in 76.6% of the 148 patients, which is higher than our previous experience in which common duct exploration was performed on the basis of clinical criteria. In 7% of the 301 cholecystectomized patients, nnpredicted stones were detected at operative sonography and cholangiography. If the common duct exploration were to be performed based solely on the outcome of the sonogram, the rate of positive exploration could be 97%. Overall morbidity in this series was 9%, and retained stones following duct exploration were encountered in 1 patient. The overall mortality rate of the entire patient group was 0.9%. Operative ultrasonography of the biiiary tract as a screening procedure is, in experienced hands, a reliable method and substitute for operative cholangiography.

show abstract

mentioning

confidence: 99%

Comparison of operative ultrasonography and radiography in screening of the common bile duct for calculi

et al. 1987

View full text Add to dashboard Cite

show abstract

“…Further study would demonstrate that for the "bare bones" LC, routine cholangiography can be eliminated provided patients have no jaundice, pancreatitis, or abnormal ductal dilation on ultrasonography, and have normal parameters of liver function, a concept already promulgated in the literature. [13][14][15][16] In addition, reusable trocars and Veress needles could be used.…”

Section: Discussionmentioning

confidence: 99%

Bare Bones Laparoscopy: A Randomized Prospective Trial of Cost Savings in Laparoscopic Cholecystectomy

Brackman

Foley

Esquivel

et al. 2002

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…Control films would improve subsequent exposures, and repeat films when the initial radiographs are inadequate would solve many problems. However, this can be time-consuming; up to 30 minutes can be added to open [18] and laparoscopic [10] cholecystectomy procedures.…”

Section: Discussionmentioning

confidence: 99%

“…The alternative argument is that cholangiography using the twofilm technique without the use of fluoroscopic imaging equipment is incompatible with laparoscopy, and should be abandoned. Considering the cost of laparoscopic cholangiography in terms of personnel, theatre time and radiological equipment [10,18], further prospective studies are needed to answer these important questions.…”

Section: Discussionmentioning

confidence: 99%

The Standard of Laparoscopic Intraoperative Cholangiography: A Quality Control Study

Arul¹,

Rooney²,

Gregson³

et al. 1999

Endoscopy

View full text Add to dashboard Cite

show abstract

Cost-effectiveness of operative cholangiography

Cited by 30 publications

References 10 publications

Comparison of operative ultrasonography and radiography in screening of the common bile duct for calculi

Comparison of operative ultrasonography and radiography in screening of the common bile duct for calculi

Bare Bones Laparoscopy: A Randomized Prospective Trial of Cost Savings in Laparoscopic Cholecystectomy

The Standard of Laparoscopic Intraoperative Cholangiography: A Quality Control Study

Contact Info

Product

Resources

About