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Operative choledochoscopy. Results of a prospective study in several institutions. Am J Surg 1977 Jan;133(1):105-10

Date

01/01/1977

Pubmed ID

835769

DOI

10.1016/0002-9610(77)90202-1

Scopus ID

2-s2.0-0017351191 (requires institutional sign-in at Scopus site)   53 Citations

Abstract

A prospective study from six surgical units utilizing choledochoscopy in conjunction with primary choledocholithotomyand cholangiography resulted in an incidence of less than 2 per cent unsuspected residual biliary calculi. Total reliance on choledochoscopy without associated operative cholangiography is not justified and fraught with error. When there are no calculi in the common duct, the choledochoscope allows the surgeon to shorten exploration time with confidence that the postexploratory cholangiogram will confirm his negative findings. The choledoschoscope is of additional value in the extraction of calculi. Certain considerations in the management of biliary tract tumors also can be helped by the addition of choledochoscopy. The simultaneous presence of calculous disease and biliary tract neoplasm can coexist can be brought to light by the use of the choledochoscope. The incorporation of choledochoscopy, using a rigid Berci-Shore choledochoscope, as part of routine common duct exploration, appears to be warranted.

Author List

Nora PF, Berci G, Dorazio RA, Kirshenbaum G, Shore JM, Tompkins RK, Wilson SD

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Bile Duct Neoplasms
Cholangiography
Cholelithiasis
Common Bile Duct
Endoscopy
Female
Humans
Male
Middle Aged
Prospective Studies
Surgical Procedures, Operative