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Technical elements of successful laparoscopic cholangiography as defined by radiographic criteria
C L Willekes1, J K Edoga, J J Castronuovo
1Department of Surgery, Morristown Memorial Hospital, NJ, USA.
Objective:
To define the elements of successful laparoscopic cholangiography.
Design:
Retrospective review of 130 consecutive patients who underwent laparoscopic cholangiography.
Setting:
Community hospital with a surgical residency.
Patients:
Thirty-four males and 96 females, aged 16 to 86 years, with acute and chronic cholecystitis.
Intervention:
Laparoscopic cholecystectomy during intraoperative cholangiography.
Main Outcome Measure:
A cholangiogram that satisfactorily delineates biliary anatomy as defined by accepted radiologic criteria.
Results:
A successful laparoscopic cholangiogram was obtained in 98.5% of the study group.
Conclusion:
A safe and reliable technique to obtain a laparoscopic cholangiogram is described and validated using accepted radiologic criteria.