Efficacy of Multi‐slice Computed Tomography Cholangiography Before Laparoscopic Cholecystectomy

Abstract

DIC-CT is an efficacious preoperative technique as compared with MRC for the biliary tract imaging. DIC-CT may be of benefit for both patients scheduled to undergo LC and their surgeons.

ENBD tube placement prior to laparoscopic cholecystectomy may reduce the rate of complications in cases with predictably complicating biliary anomalies

“…Some authors have suggested that the accessory hepatic ducts are better identified by DIC-CT than either ERCP or MRCP [18,19]. Nevertheless, there are still undoubtedly some anomalies that could be missed by all available diagnostic modalities.…”

Is routine MR cholangiopancreatography (MRCP) justified prior to cholecystectomy?

“…Bile duct injuries are serious complications occurring during cholecystectomy [25,26] and are always the result of technical error or misidentification. After the introduction of laparoscopic cholecystectomy in the 1990s, injuries to the major bile duct increased two-to threefold [27].…”

Why is there recurrence after transcystic laparoscopic bile duct clearance? Risk factor analysis

“…Presently, multislice computer tomography cholangiography is considered the most efficacious preoperative technique for evaluation of cystic duct anatomy [11]. The incidence of anatomical variants ranges from 0.6% to 5% in study populations with greater than 1,000 subjects [12].…”