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 Scopus citations

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 - Jun 1995

Keywords

  • Cholangiography
  • Intravenous cholangiography
  • Laparoscopic cholecystectomy

ASJC Scopus subject areas

  • Surgery

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