Direct puncture cholangiography for clarifying difficult anatomy.
Laparoscopic cholecystectomy is a very frequently performed procedure. Its most dreadful complication is bile duct injury. Difficulty in appreciating the biliary anatomy plays an important role in its causation. Here we describe our technique in clarifying the difficult anatomy by directly injecting the radiologic contrast in the ambiguous area, and thus avoiding a potential injury.
Department of Surgery, Armed Forces Hospital, Saudi Arabia. ezzedien@hotmail.com
M Ezzedien
ME
Rabie
D000328:Adult; D001652:Bile Ducts / Q000033:anatomy & histology*; D002758:Cholangiography / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D003135:Common Bile Duct / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D061887:Conversion to Open Surgery; D003549:Cystic Duct / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged