title: Cholecysto cholangiography versus cystic duct cholangiography in laparoscopic cholecystectomy: a prospective controlled randomized trial.
abstract: This study evaluated the safety and effectiveness of cholecysto-cholangiography (CCC), an extremely rapid and easy way of imaging the biliary tree during laparoscopic cholecystectomy and a viable alternative to cystic duct cholangiography in the era of minimal invasive surgery. Sixty patients with symptomatic gallbladder stones were studied in this series, 30 were evaluated for cholecysto-cholangiography and other 30 for transcystic-cholangiography. The success rate in cholecysto-cholangiography approached 80% with excellent quality films obtained. Delineation of anatomy approached 85%; 75% for cholecysto-cholangiography and transcystic cholangiography respectively. Exposure time to radiation compares favourably with cystic duct cannulation with a mean time 2.4 min. Cholecysto-cholangiography added less than 11 mins to the procedure; mean 10.4 mins, while transcystic cholangiography added an extra 30 mins; mean 31 mins. There were no cholangiogram related complications or false positive findings with a smooth for two months follow up.
authors.affiliation: Department of General Surgery, Theodor Bilharz Research Institute, P.O. Box 30, Imbaba, Giza, Egypt.
authors.forename: Ayman I
authors.initials: AI
authors.lastname: Nafeh
authors.forename: Sameh B
authors.initials: SB
authors.lastname: Elsebaie
authors.forename: Maged M
authors.initials: MM
authors.lastname: Nasr
authors.forename: Hussin M
authors.initials: HM
authors.lastname: Ezzat
mesh_terms: D000328:Adult; D002758:Cholangiography / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D003287:Contrast Media / Q000494:pharmacology; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult
chemical_list: D003287:Contrast Media