title: Puncture of the gallbladder during peritoneoscopy - technique and diagnostic relevance (author's transl).
abstract: Peritoneoscopic puncture of the gallbladder for transvesical cholecysto-cholangiography and for aspiration of bile for chemical and bacteriological analysis is performed rather rarely because of a seemingly high rate of complications. The risk however is low if an appropriate technique is used. In our series the gallbladder was punctured in 110 cases; a local peritonitis subsiding under conservative treatment occured as a complication in only one case. Peritoneoscopic puncture of the gallbladder is indicated in the following conditions: extrahepatic occlusion of the bile duct system of unknown origin, nonvisualization of the gallbladder during cholangiography, biliary dyskinesia, typical biliary colics with normal X-ray findings. In addition, gallbladder puncture should be done if any suspicion of gallbladder disease arises during peritoneoscopy. The procedure as well as technical variations for cholecysto-cholangiography and for X-ray investigation of the pancreatic duct system are described.
mesh_terms: D001646:Bile / Q000032:analysis; D002758:Cholangiography / Q000379:methods*; D002766:Cholecystokinin / Q000494:pharmacology; D002769:Cholelithiasis / Q000175:diagnosis; D002908:Chronic Disease; D005260:Female; D006500:Hepatic Duct, Common / Q000187:drug effects; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D010195:Pancreatitis / Q000175:diagnosis
chemical_list: D002766:Cholecystokinin
vernacular_title: Die laparoskopische Gallenblasenpunktion - Technik und diagnostische Möglichkeiten