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

[Intraoperative cholangiography as a routine method? A prospective, controlled, randomized study]

C Nies1, F Bauknecht, C Groth

  • 1Klinik für Allgemeinchirurgie, Philipps-Universität Marburg.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 31, 1997
PubMed
Summary
This summary is machine-generated.

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

Serotonin deficiency induced after brain maturation rescues consequences of early life adversity.

Scientific reports·2021
Same author

[Erratum to: Diagnostics and treatment of primary hyperparathyroidism].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2019
Same author

[Update of the S2k guidelines : Surgical treatment of benign thyroid diseases].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2018
Same author

Targeted overexpression of CRH receptor subtype 1 in central amygdala neurons: effect on alcohol-seeking behavior.

Psychopharmacology·2018
Same author

[Bilateral corneal calcification in ocular graft-versus-host disease].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·2018
Same author

[Diagnostics and treatment of primary hyperparathyroidism].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2017
Same journal

[S3 Guideline "Adult soft tissue sarcomas"].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Synopsis-S3 guidelines pancreatic cancer].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Laparoscopic sentinel node navigation surgery in gastric cancer to reduce surgical radicality].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Future concepts for neoadjuvant and adjuvant treatment of (resectable) pancreatic cancer].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[ASCO guidelines for the treatment of stage III NSCLC part 4: indications for adjuvant therapy].

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
Same journal

[Surgical treatment of pancreatic cancer-What is new?]

Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen·2022
See all related articles

Routine intraoperative fluoroscopic cholangiography (IOC) for gall stone disease is not cost-effective. While IOC can detect some bile duct stones, it increases operative time without improving outcomes, suggesting selective use is best.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Biliary Tract Disease

Background:

  • Symptomatic gall stone disease is common.
  • Common bile duct stones can cause complications.
  • Intraoperative fluoroscopic cholangiography (IOC) is used to detect bile duct stones during surgery.

Purpose of the Study:

  • To evaluate the effectiveness and necessity of routine intraoperative fluoroscopic cholangiography (IOC) in patients undergoing surgery for gall stone disease without preoperative suspicion of common bile duct stones.

Main Methods:

  • A prospective, randomized controlled trial involving 275 patients.
  • Patients were divided into two groups: one undergoing IOC and one not.
  • Follow-up examination one year after surgery.

Related Experiment Videos

Main Results:

  • IOC diagnosed bile duct stones in 2.7% of cases, which would have been missed otherwise.
  • No significant difference in post-operative complications between groups.
  • Operations with IOC were significantly longer.
  • Three patients in the non-IOC group experienced symptomatic stone passage or retained stones requiring intervention.

Conclusions:

  • Routine IOC is not justified due to increased costs and operative time.
  • Selective use of IOC or preoperative/endoscopic evaluation for suspected common bile duct stones is recommended.
  • Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic papillotomy (EPT) are effective for bile duct clearance prior to cholecystectomy.