title: [Intraoperative ultrasonography for common bile duct exploration during laparoscopic cholecystectomy].
abstract: The "Endomedix Laparoscan" and the "Leopard" and "Panther" intraoperative ultrasounds were successfully used for the detection of unsuspected common bile duct stones during laparoscopic cholecystectomy (LC). Out of 60 patients six had common bile duct (CBD) stones and in one patient sludge has been seen. In patients with CBD stones, four small calculi have been observed in one patient, despite negative intraoperative cholangiography (IC). In an other patient a stone in the retropancreatic part of the CBD was detected. Based on preoperative findings CBD stone was unsuspected. We found that intraoperative ultrasound (IOUS) is useful for in investigating the CBD to detect unsuspected common bile duct stones. It can be used for the examination of other organs (liver, pancreas, hepatoduodenal ligament) as well. The method is easy to perform, fairly simple and informative so it can replace IC during laparoscopic cholecystectomy.
authors.affiliation: Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház, Altalános Sebészeti Osztály, 3501 Miskolc, Szentpéteri kapu 72-76.
authors.forename: Sándor
authors.initials: S
authors.lastname: Bende
authors.forename: Akos
authors.initials: A
authors.lastname: Botos
authors.forename: Aurél
authors.initials: A
authors.lastname: Ottlakán
authors.forename: Pál
authors.initials: P
authors.lastname: Pásztor
authors.forename: Attila
authors.initials: A
authors.lastname: Pálfi
authors.forename: Péter
authors.initials: P
authors.lastname: Liptay-Wagner
mesh_terms: D017081:Cholecystectomy, Laparoscopic; D003135:Common Bile Duct / Q000000981:diagnostic imaging* / Q000601:surgery; D019160:Endosonography / Q000379:methods; D042882:Gallstones / Q000000981:diagnostic imaging*; D006801:Humans; D016343:Monitoring, Intraoperative; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies