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Updated: Jun 1, 2026
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Cholecysto cholangiography versus cystic duct cholangiography in laparoscopic cholecystectomy: a prospective
Ayman I Nafeh1, Sameh B Elsebaie, Maged M Nasr
1Department of General Surgery, Theodor Bilharz Research Institute, P.O. Box 30, Imbaba, Giza, Egypt.
Abstract:
This study evaluated the safety and effectiveness of cholecysto-cholangiography (CCC), an extremely rapid and easy way of imaging the biliary tree during laparoscopic cholecystectomy and a viable alternative to cystic duct cholangiography in the era of minimal invasive surgery. Sixty patients with symptomatic gallbladder stones were studied in this series, 30 were evaluated for cholecysto-cholangiography and other 30 for transcystic-cholangiography. The success rate in cholecysto-cholangiography approached 80% with excellent quality films obtained. Delineation of anatomy approached 85%; 75% for cholecysto-cholangiography and transcystic cholangiography respectively. Exposure time to radiation compares favourably with cystic duct cannulation with a mean time 2.4 min. Cholecysto-cholangiography added less than 11 mins to the procedure; mean 10.4 mins, while transcystic cholangiography added an extra 30 mins; mean 31 mins. There were no cholangiogram related complications or false positive findings with a smooth for two months follow up.
