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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer-Verlag

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DOI

10.1007/s11269-015-0981-3

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1873-4626

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Routine Intraoperative Cholangiography During Sing

Authors: Norihiro Sato Kazunori Shibao Yasuki Akiyama Yuzuru Inoue Yasuhisa Mori Noritaka Minagawa Aiichiro Higure Koji Yamaguchi
Publish Date: 2012/12/22
Volume: 17, Issue: 4, Pages: 668-674
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Abstract

Singleincision laparoscopic cholecystectomy SILC has been increasingly performed as a potentially less invasive alternative to standard laparoscopic cholecystectomy However recent evidences suggest a higher incidence of complications notably bile duct injuries in SILC We reviewed our experiences with routine intraoperative cholangiography IOC during SILC to investigate its feasibility and usefulnessIOC was successful in 178 of 196 patients yielding a success rate of 908  There were no IOCrelated complications Common bile duct CBD stones were detected by IOC in 16 patients 82  all of which were treated by subsequent singleincision laparoscopic CBD exploration or postoperative endoscopic retrograde cholangiopancreatography with stone extraction In addition IOC revealed filling defects in the cystic duct four patients and poor passage of contrast medium into the duodenum one patient In one patient with severe acute cholecystitis cholangiography via an endoscopic nasobiliary drainage tube revealed misinterpretation of CBD as cystic duct

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