Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ultrasonic indications to explore the common bile duct

R J Lane, G A Coupland

    Surgery
    |March 1, 1982
    PubMed
    Summary

    Operative ultrasonography is a rapid and reliable method for detecting bile duct stones during surgery. This technique offers high sensitivity and specificity, proving effective even when operative cholangiography faces technical challenges.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Malakoplakia in Thoracic Transplant Recipients.

    Transplantation proceedings·2019
    Same author

    The integration of pharmacology and pathophysiology into locoregional chemotherapy delivery via mass fluid transfer.

    Journal of controlled release : official journal of the Controlled Release Society·2018
    Same author

    Enteric fever in the Pacific: a regional retrospective study from Auckland, New Zealand.

    Internal medicine journal·2014
    Same author

    Endovenous valve transfer for chronic deep venous insufficiency.

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2013
    Same author

    Thermal lens spectrometry using a broadly tunable optical parametric oscillator.

    Applied optics·2010
    Same author

    Popliteal vein compression syndrome: obesity, venous disease and the popliteal connection.

    Phlebology·2009

    Area of Science:

    • Gastroenterology
    • Surgical Imaging
    • Hepatobiliary Surgery

    Background:

    • Cholelithiasis is a common condition often requiring surgical intervention.
    • Choledocholithiasis, the presence of stones in the common bile duct, can complicate cholecystectomy.
    • Accurate intraoperative detection of choledocholithiasis is crucial for patient outcomes.

    Purpose of the Study:

    • To prospectively compare the diagnostic accuracy and efficiency of operative choledochosonography versus operative cholangiography.
    • To evaluate the reliability of ultrasonography in identifying common bile duct stones during cholecystectomy.

    Main Methods:

    • A prospective study involving 100 patients with cholelithiasis and suspected choledocholithiasis.
    • Comparison of operative cholangiography and operative choledochosonography in 100 patients.
    • Detailed analysis of ultrasonographic findings, including specific signs indicative of stones.

    Main Results:

    • Operative ultrasonography demonstrated high sensitivity (96%) and specificity (93%) in detecting bile duct stones.
    • Operative cholangiography had similar sensitivity (96%) and specificity (96%) but was technically limited in 12% of cases.
    • Ultrasonography successfully identified stones missed by cholangiography due to technical difficulties.
    • Choledochosonography required significantly less time (3-5 minutes) compared to cholangiography (10-15 minutes).

    Conclusions:

    • Operative choledochosonography is a rapid, reliable, and effective tool for detecting choledocholithiasis during cholecystectomy.
    • Ultrasonography serves as a valuable alternative or adjunct to cholangiography, especially when technical issues arise.
    • The technique offers comparable diagnostic performance to cholangiography with improved efficiency.

    Related Experiment Videos