Intravenous cholangiography and the management of choledocholithiasis prior to laparoscopic cholecystectomy

M. J. Dorenbusch, D. D T Maglinte, L. T. Micon, R. A. Graffis, W. W. Turner

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The preoperative diagnosis of choledocholithiasis simplifies the laparoscopic management of biliary tract disease. Slow infusion intravenous cholangiography (SI-IVC) may be an accurate and cost-effective screening test for choledocholithiasis, and it is safer than traditional intravenous cholangiography. Forty-nine patients underwent SI-IVCs for suspected choledocholithiasis. These patients subsequently had endoscopic retrograde cholangiograms (ERC) or intraoperative cholangiograms (IOC) during laparoscopic cholecystectomies. Sixteen SI-IVCs demonstrated choledocholithiasis: 13 were confirmed by ERCs or by IOCs. The remaining 33 patients with negative SI-IVCs had negative ERCs or IOCs. The sensitivity, specificity, and accuracy of detecting choledocholithiasis by SI-IVC were 100%, 92%, and 94%. Only one patient had a mild reaction to the contrast agent. In our hospital the cost of an SI-IVC is $324, the cost of an IOC is $393 (including operating room and anesthesia costs), and the cost of an ERC is $1,085. SI-IVC is an accurate method of preoperative screening for choledocholithiasis. It is safe and cost-effective.

Original languageEnglish (US)
Pages (from-to)188-192
Number of pages5
JournalSurgical Laparoscopy and Endoscopy
Volume5
Issue number3
StatePublished - 1995

Fingerprint

Choledocholithiasis
Cholangiography
Laparoscopic Cholecystectomy
Intravenous Infusions
Costs and Cost Analysis
Biliary Tract Diseases
Hospital Costs
Operating Rooms
Contrast Media
Anesthesia
Sensitivity and Specificity

Keywords

  • Cholangiography
  • Intravenous cholangiography
  • Laparoscopic cholecystectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Intravenous cholangiography and the management of choledocholithiasis prior to laparoscopic cholecystectomy. / Dorenbusch, M. J.; Maglinte, D. D T; Micon, L. T.; Graffis, R. A.; Turner, W. W.

In: Surgical Laparoscopy and Endoscopy, Vol. 5, No. 3, 1995, p. 188-192.

Research output: Contribution to journalArticle

Dorenbusch, M. J. ; Maglinte, D. D T ; Micon, L. T. ; Graffis, R. A. ; Turner, W. W. / Intravenous cholangiography and the management of choledocholithiasis prior to laparoscopic cholecystectomy. In: Surgical Laparoscopy and Endoscopy. 1995 ; Vol. 5, No. 3. pp. 188-192.
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