Laparoscopic Ultrasound during Laparoscopic Cholecystectomy

  • Jean-Marc Catheline
  • Joël Roussel


The incidence of choledocholithiasis (CDL) has been shown to be around 10% when intra-operative cholangiography (IOC) is practised routinely during cholecystectomy [1, 2, 3]. The advent of laparoscopic cholecystectomy has enlivened the debate between those who defend systematic intra-operative opacification of the common bile duct (CBD) [4, 5, 6] and those who advocate a selective approach [7, 8] based on certain predictive factors [9, 10]. IOC remains an invaluable tool for the detection of asymptomatic stones, as well as the prevention and/or detection of possible CBD injuries [11, 12, 13]. Regarding the latter, authors such as Wright [14] have suggested that IOC is not a prerequisite for the safe performance of laparoscopic cholecystectomy and cannot be relied upon to prevent all biliary injuries.


Common Bile Duct Laparoscopic Cholecystectomy Cystic Duct Acute Cholecystitis Biliary Tree 
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  1. 1.
    Mansberger JA, Davis J, Scarborough C, Bowden TA (1988) Selective intraoperative cholangiography. A case for its use on an anatomic basis. Am J Surg 55:31–33Google Scholar
  2. 2.
    Ijzermans JNM, De Waard P, Merkelbach JW (1989) Cholangiography during cholecystectomy: a plea for selective use. Neth J Surg 41:79–81PubMedGoogle Scholar
  3. 3.
    Shively EH, Wieman TJ, Adams AL et al (1990) Operative cholangiography. Am J Surg 159:380–384PubMedCrossRefGoogle Scholar
  4. 4.
    Corbitt JD, Cantwell D (1991). Laparoscopic cholecystectomy with operative cholangiogram. Surg Laparosc Endosc 1:229–232PubMedGoogle Scholar
  5. 5.
    Flowers JL, Zucker KA, Graham SM et al (1992) Laparoscopic cholangiography: results and indications. Ann Surg 215:209–216PubMedCrossRefGoogle Scholar
  6. 6.
    Sackier JM, Berci G, Phillips E et al (1991) The role of cholangiography in laparoscopic cholecystectomy. Arch Surg 126:1021–1026PubMedGoogle Scholar
  7. 7.
    McEntee G, Grace PA, Bouchier-Hayes D (1991) Laparoscopic cholecystectomy and the common bile duct. Br J Surg 78:385–386PubMedCrossRefGoogle Scholar
  8. 8.
    Trondsen E, Edwin B, Reiertsen O et al (1998) Prediction of common bile duct stones prior to cholecystectomy: a prospective validation of a discriminant analysis fonction. Arch Surg 133:162–166PubMedCrossRefGoogle Scholar
  9. 9.
    Bogokowsky H, Slucki S, Zaidenstein L et al (1987) Selective operative cholangiography. Surg Gynecol Obstet 164:124–126PubMedGoogle Scholar
  10. 10.
    Huguier M, Bornet P, Charpak Y et al (1991) Selective contraindications based of multivariate analysis for operative cholangiography in biliary lithiasis. Surg Gynecol Obstet 172:470–474PubMedGoogle Scholar
  11. 11.
    Bagnoto VJ, McGee GE, Hatten LE et al (1991) Justification for routine cholangiography during laparoscopic cholecystectomy. Surg Laparosc Endosc 1:89–93Google Scholar
  12. 12.
    Berci L, Sackier RJ, Paz Partlow M (1991) Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy. Am J Surg 161:355–360PubMedCrossRefGoogle Scholar
  13. 13.
    Hunter JG (1991) Avoidance of bile duct injury during laparoscopic cholecystectomy. Am J Surg 162:71–76PubMedCrossRefGoogle Scholar
  14. 14.
    Wright KD, Wellwood JM (1998) Bile duct injury during laparoscopic cholecystectomy without operative cholangiography. Br J Surg 85:191–194PubMedCrossRefGoogle Scholar
  15. 15.
    Rothlin M, Sclumpf R, Largiader F (1991) Die technik der intra-operativen sonographie bei der laparoskopiscer cholecystektomie. Chirurg 62:899–901PubMedGoogle Scholar
  16. 16.
    Ascher SM, Evans RT, Goldberg JA (1992) Intraoperative bile duct sonography during laparoscopic cholecystectomy: experience with a 12,5 MHz catheter-based U.S. probe. Radiology 185:493–496PubMedGoogle Scholar
  17. 17.
    Castro D, Arregui ME, Brueggeman A (1995) Laparoscopic ultrasound: principles and techniques. In: Arregui ME, Fitzgibbons RJ, Katkouda N, McKernam JB, Reich H (eds) Principles of laparoscopic surgery. Basic and advances techniques. New York, Springer Verlag, pp 489–505Google Scholar
  18. 18.
    Machi J, Sigel B, Zaren HA et al (1993) Technique of ultrasound examination during laparoscopic cholecystectomy. Surg Endosc 7:544–549PubMedCrossRefGoogle Scholar
  19. 19.
    Rothlin MA (1995) Laparoscopic ultrasound of the biliary tree. In: Arregui ME, Fitzgibbons RJ, Katkouda N, MC Kernam JB, Reich H (eds) Principles of laparoscopic surgery. Basic and advances techniques. New York, Springer Verlag, pp 506–512Google Scholar
  20. 20.
    Yamamoto M, Stiegman GV, Durham J et al (1993) Laparoscopy-guided intracorporeal ultrasound accurately delineates hepatobiliary anatomy. Surg Endosc 7:325–330PubMedCrossRefGoogle Scholar
  21. 21.
    Greig JD, John TG, Mahadaven M, Garden OJ (1994) Laparoscopic ultrasonography in the evaluation of the biliary tree during laparoscopic cholecystectomy. Br J Surg 81:1202–1206PubMedCrossRefGoogle Scholar
  22. 22.
    Barteau JA, Castro D, Arregui ME, Telik C (1995) A comparison of intraoperative ultrasound versus cholangiography in the evaluation of the common bile duct during laparoscopic cholecystectomy. Surg Endosc 9:490–496PubMedCrossRefGoogle Scholar
  23. 23.
    Rothlin MA, Schob R, Schlumpf R, Lagardir F (1996) Laparoscopic ultrasonography during cholecystectomy. Br J Sur 83:1512–1516CrossRefGoogle Scholar
  24. 24.
    Yamashita Y, Kurohiji T, Hayashi J (1993) Intraoperative ultrasonography during laparoscopic cholecystectomy. Surg Laparosc Endosc 3:167–171PubMedGoogle Scholar
  25. 25.
    Fletcher DR, Hobbs MS, Tan P et al (1998) Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. Ann Surg 229:449–457CrossRefGoogle Scholar
  26. 26.
    Bouillot JL, Fernandez FJ, Dehni N et al (1995) Intraoperative systematic cholangiography in celoscopic cholecystectomy. Gastroenterol Clin Biol 19:287–290PubMedGoogle Scholar
  27. 27.
    Millat B, Atger J, Deleuze A et al (1997) Laparoscopic treatment for choledocholithiasis: a prospective evaluation in 247 consecutive unselected patients. Hepatogastroenterology 44:28–34PubMedGoogle Scholar
  28. 28.
    Miles WFA, Paterson-Brown S, Garden OJ (1992) Laparoscopic contact hepatic ultrasonography. Br J Surg 79:419–420PubMedCrossRefGoogle Scholar
  29. 29.
    Murighia M, Paterson-Brown S, Winsor JA et al (1993) Early experience of laparoscopic ultrasonography in the management of pancreatic carcinoma. Surg Endosc 7:177–181CrossRefGoogle Scholar
  30. 30.
    John TG, Greg D, Carter DC, Garden OJ (1995) Carcinoma of the pancreatic head and periampullary region: tumour staging with laparoscopy and laparoscopic ultrasonography. Ann Surg 221:156–164PubMedCrossRefGoogle Scholar
  31. 31.
    John TG, Greig D, Crosbie JL et al (1994) Superior staging of livers tumors with laparoscopy and laproscopic ultrasound. Ann Surg 220:711–719PubMedCrossRefGoogle Scholar
  32. 32.
    Catheline JM, Turner R, Rizk N et al (1999) The use of diagnostic laparoscopy supported by laparoscopic ultrasonography in the assessment of pancreatic cancer. Surg Endosc 13:239–245PubMedCrossRefGoogle Scholar
  33. 33.
    Lane RJ, Coupland GAE (1992) Ultrasonic indications to explore the common bile duct. Surgery 91:268–274Google Scholar
  34. 34.
    Sigel B, Machi J, Beitler JC (1983) Comparative accurancy of operative ultrasonography and cholangiography in detecting common duct calculi. Surgery 94:715–720PubMedGoogle Scholar
  35. 35.
    Jakimowicz JJ, Rutten H, Jurgens PJ, Carol EJ (1987) Comparison of operative ultrasonography and radiography in screening of the common bile duct for calculi. World J Surg 11:628–634PubMedCrossRefGoogle Scholar
  36. 36.
    Foley WD, Quiroz FA (2007) The role of sonography in imaging of the biliary tract. Ultrasound 23:123–135CrossRefGoogle Scholar
  37. 37.
    Tai CK, Tang CN, Ha JP et al (2004) Laparoscopic exploration of common bile duct in difficult choledocholithiasis. Surg Endosc 18:910–914PubMedCrossRefGoogle Scholar
  38. 38.
    Costi R, Iusco DR, Sarli L (2005) Evaluation of the predictors of choledo cholithiasis: comparative analysis of clinical, biochemical, radiological, radionuclear, and intraoperative parameters. Surg Today 35:1095–1096PubMedCrossRefGoogle Scholar
  39. 39.
    Sgourakis G, Delemadi G, Stamatelopoulos A et al (2005) Predictors of common bile duct lithiasis in laparoscopic era. World J Gastroenterol 11:3267–3272PubMedGoogle Scholar
  40. 40.
    Alecu L, Corodeanu G, Costan I et al (2001) Intraoperative ultrasonography, dissection with ultrashears and trans-cystic choledochoscopy during laparoscopic apprroach in obstructive lithiasis icterus case. Chirurgia (Bucar) 96:85–90Google Scholar
  41. 41.
    Catheline JM, Turner R, Paries J (2002) Laparoscopic ultrasonography is a complement to cholangiography for the detection of choledocholithiasis at laparoscopic cholecystectomy. Br J Surg 89:1235–1239PubMedCrossRefGoogle Scholar
  42. 42.
    Luo D, Chen X, Li S, Mao J (2002) Laparoscopic ultrasonography-assisted complicated laparoscopic cholecystectomy. Zhonghua Wai Ke Za Zhi 40:417–419PubMedGoogle Scholar
  43. 43.
    Halpin VJ, Dunnegan D, Soper NJ (2002) Laparoscopic intracorporeal ultrasound versus fluoroscopic intraoperative cholangiography: after the learning curve. Surg Endosc 16:336–341PubMedCrossRefGoogle Scholar
  44. 44.
    Santambrogio R, Bianchi P, Opocher E et al (1999) Prevalence and laparoscopic ultrasound patterns of cholecocholithiasis and biliary sludge during cholecystectomy. Surg Laparosc Endosc Percutan Tech 9:129–134PubMedCrossRefGoogle Scholar
  45. 45.
    Biffl WL, Moore EE, Offner PJ (2001) Routine intraoperative laparoscopic ultrasonography with selective cholangiography reduces bile duct complications during laparoscopic cholecystectomy. J Am Coll Surg 193:272–280PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Jean-Marc Catheline
    • 1
  • Joël Roussel
    • 2
  1. 1.Departement of Digestive Surgery Hospital AvicenneAssistance Publique-Hôpitaux de Paris BobignyParisFrance
  2. 2.Hospital AvicenneAssistance Publique-Hôpitaux de Paris BobignyParisFrance

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