Intraoperative Cholangiogram vs Preoperative MCRP in Treatment of Gallstones


Authors : Mahmoud Sallam; Jimmy Mena

Volume/Issue : Volume 6 - 2021, Issue 1 - January

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3szxvf4

Laparoscopic cholecystectomy (LC) is the standard treatment for gallbladder disease. Intraoperative cholangiography (COI) can reduce biliary complications from CL; however, with the advent of magnetic resonance cholangiopancreatography (MRCP), the IOC today faces an unprecedented challenge. Studies have shown that the purpose of COI goes beyond the mere detection of bile duct stones, as it is viewed as a safe and effective method for detecting bile duct abnormalities and when anatomy is uncertain. Therefore, the IOC could help prevent damage to the bile duct (CBD), especially in acute cholecystitis and in difficult cases. The aim of this article review is to evaluate whether the IOC can replace preoperative MRCP in CL for retained common bile duct stones (CBD) and bile duct damage

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