C'est une méthode d'imagerie pour examiner les voies biliaires.
CholangiographieVoies biliaires
#2
Quand est-elle indiquée?
Elle est indiquée en cas de suspicion d'obstruction ou de maladie biliaire.
Obstruction biliaireMaladies des voies biliaires
#3
Quels types de cholangiographie existent?
Il y a la cholangiographie percutanée, endoscopique et par résonance magnétique.
Cholangiographie percutanéeCholangiographie par résonance magnétique
#4
Quels examens préalables sont nécessaires?
Des analyses sanguines et parfois une échographie abdominale sont recommandées.
Analyses sanguinesÉchographie abdominale
#5
Comment se déroule l'examen?
Un produit de contraste est injecté pour visualiser les voies biliaires sur les images.
Produit de contrasteImagerie médicale
Symptômes
5
#1
Quels symptômes nécessitent une cholangiographie?
Des douleurs abdominales, jaunisse ou démangeaisons peuvent indiquer une pathologie biliaire.
Douleurs abdominalesJaunisse
#2
La cholangiographie peut-elle détecter des calculs biliaires?
Oui, elle permet de visualiser les calculs dans les voies biliaires.
Calculs biliairesCholangiographie
#3
Quels signes indiquent une obstruction biliaire?
Jaunisse, urine foncée et selles décolorées sont des signes d'obstruction.
Obstruction biliaireJaunisse
#4
Peut-on avoir des douleurs après l'examen?
Des douleurs légères peuvent survenir, mais elles sont généralement temporaires.
Douleurs post-examenCholangiographie
#5
Quels sont les signes d'infection après l'examen?
Fièvre, frissons ou rougeur au site d'injection peuvent indiquer une infection.
InfectionFièvre
Traitements
5
#1
Quels traitements suivent une cholangiographie?
Les traitements dépendent des résultats, incluant médicaments ou interventions chirurgicales.
Traitements médicauxChirurgie
#2
Peut-on retirer des calculs lors de la cholangiographie?
Oui, lors d'une cholangiographie endoscopique, des calculs peuvent être retirés.
Cholangiographie endoscopiqueCalculs biliaires
#3
Quels médicaments sont utilisés après l'examen?
Des analgésiques et des antibiotiques peuvent être prescrits pour prévenir l'infection.
AnalgésiquesAntibiotiques
#4
Y a-t-il des soins post-examen à suivre?
Il est conseillé de se reposer et de surveiller les signes d'infection ou de complications.
Soins post-examenComplications
#5
La cholangiographie nécessite-t-elle une hospitalisation?
Pas toujours, mais une observation peut être nécessaire selon les cas.
HospitalisationObservation médicale
Complications
5
#1
Quelles sont les complications possibles?
Les complications incluent infection, hémorragie ou réaction au produit de contraste.
InfectionHémorragie
#2
Comment prévenir les complications?
Suivre les instructions médicales et signaler tout symptôme anormal rapidement.
Prévention des complicationsSuivi médical
#3
Les réactions allergiques au contraste sont-elles fréquentes?
Elles sont rares, mais peuvent survenir; informez votre médecin de vos allergies.
Réaction allergiqueProduit de contraste
#4
Que faire en cas de douleur intense après l'examen?
Consultez immédiatement un médecin si la douleur persiste ou s'aggrave.
Douleur intenseConsultation médicale
#5
Les complications sont-elles plus fréquentes chez certains patients?
Oui, les patients avec des antécédents de maladies biliaires ou d'infections sont à risque.
Antécédents médicauxMaladies biliaires
Facteurs de risque
5
#1
Quels facteurs augmentent le risque de maladies biliaires?
L'obésité, le diabète et des antécédents familiaux de maladies biliaires sont des facteurs de risque.
ObésitéDiabète
#2
L'âge influence-t-il le risque de pathologies biliaires?
Oui, le risque augmente avec l'âge, surtout après 40 ans.
ÂgePathologies biliaires
#3
Le sexe joue-t-il un rôle dans les maladies biliaires?
Oui, les femmes sont généralement plus susceptibles de développer des maladies biliaires.
SexeMaladies biliaires
#4
Les antécédents médicaux influencent-ils le risque?
Oui, des antécédents de cholécystite ou de calculs biliaires augmentent le risque.
CholécystiteCalculs biliaires
#5
Le mode de vie affecte-t-il la santé biliaire?
Un mode de vie sédentaire et une alimentation riche en graisses augmentent le risque.
Mode de vieAlimentation
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Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA. aml133@health.ucsd.edu.
Center for the Future of Surgery, UC San Diego School of Medicine, University of California of San Diego, MET Building, Lower Level, 9500 Gilman Drive MC 0740, La Jolla, CA, 92093-0740, USA. aml133@health.ucsd.edu.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Department of Surgery, Division of Minimally Invasive Surgery, UC San Diego School of Medicine, University of California San Diego, San Diego, CA, USA.
Division of Minimally Invasive Surgery, Center for Fluorescence-Guided Surgery, Department of Surgery, University of California, San Diego, La Jolla, CA.
Department of Gastroenterology, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster LA1 4RP, United Kingdom. eyadgadour@doctors.org.uk.
The role of intra-operative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is controversial. CT cholangiography (CTC) provides a reliable assessment of biliary anatomy, potentially reducin...
A single centre retrospective analysis was undertaken of all elective laparoscopic cholecystectomies between 2017 and 2021. Information was obtained from a general surgical database alongside hospital...
Of 1079 patients, 129 (12.0%) underwent routine pre-operative CTC, 786 (72.8%) routine IOC, and 161 patients (14.9%) neither modality. Comparing CTC and IOC, the CTC group had higher rates of open con...
Biliary imaging with either CTC or IOC is beneficial in reducing bile leak and bile duct injury, and its routine use LC is recommended. However, routine CTC is inferior to routine IOC in preventing co...
The application of intracavity contrast-enhanced ultrasound in the evaluation of biliary disease has been confirmed valuable among pediatric population. This pictorial essay aims to demonstrate the ro...
The infraportal type of the right posterior bile duct (infraportal RPBD) is a well-known anatomical variation that increases the potential risk of intraoperative biliary injury. The aim of this study ...
Our procedure for SILC utilized the SILS-Port, and another 5-mm forceps was inserted...
Thirty-one patients underwent fluorescent cholangiography during SILC, but the remaining ten did not. Only one patient who did not undergo fluorescent cholangiography developed an intraoperative bilia...
The application of fluorescent cholangiography can lead to safe SILC, even for patients with infraportal RPBD. Its benefit is emphasized when infraportal RPBD is connected to the common bile duct....
Intraoperative cholangiography may allow for earlier identification of common bile duct injury and choledocholithiasis. The role of intraoperative cholangiography in decreasing resource use related to...
This retrospective, longitudinal cohort study included 3,151 patients who underwent laparoscopic cholecystectomy at 3 university hospitals. To minimize differences in baseline characteristics while ma...
In the propensity-matched analysis, the intraoperative cholangiography and no intraoperative cholangiography cohorts had similar age, comorbidities, American Society of Anesthesiologists Sequential Or...
Compared with laparoscopic cholecystectomy without intraoperative cholangiography, cholecystectomy with intraoperative cholangiography was associated with decreased resource use, which was primarily a...
The aim of this study was to investigate the outcome of common bile duct stones (CBDS) in asymptomatic patients at laparoscopic cholecystectomy (LC) and intra-operative cholangiogram (IOC)....
All patients undergoing LC and IOC at Te Whatu Ora - Health New Zealand Waikato between January 2017 and January 2022 were retrospectively reviewed. Electronic records were screened for asymptomatic C...
Included were 1,297 patients undergoing LC and IOC. Of these, 150 (24.1%) patients had a positive IOC, of which 58 (38.7%) were asymptomatic. Attempted flushing of CBDS was employed in 49 cases, 10 su...
Rates of retained asymptomatic stones after positive IOC were low. Acknowledging risks associated with intervention and low rates of readmission with retained CBDS, an expectant approach could be more...
Ideal visualization of fluorescent cholangiography during laparoscopic cholecystectomy is when maximum fluorescence into biliary ducts and absent signal into liver parenchyma, defined as "signal to ba...
The first part of the study was used to define a range of small weight-based ICG dosages using the mathematical function bisection method. During the second part of the study, the midpoint dose of the...
Fourteen patients were included in the first part of the study and ICG dose between 0.01191406 and 0.0119873 mg/kg was identified. The second part confirmed previous results after testing the dosage e...
ICG dose calculated by 0.0119 mg/kg administered one hour before surgery allows an ideal intraoperative visualization of the extra-hepatic biliary tree....
ISRCTN10190039....
Bile duct injuries avoidance is a key goal of biliary surgery. In this prospective study we evaluate the safety and feasibility of ICG fluorescent cholangiography during laparoscopic cholecystectomy (...
From February to December 2022 fifty-four LC were performed with fluorescence imaging in our surgical department. 2.5 mg ICG were administered intravenously between 5 h and 24 h before surgery. Near-i...
Biliary anatomy was identified in all cases. Median time of ICG administration was 11 h previous surgery and three groups of patients were identified: group A receiving ICG 5-9 h, group B 10-14 h, gro...
Fluorescent cholangiography during LC is safe and feasible overcoming the limits of other techniques available. 2.5 mg ICG administered 10-14 h before surgery produces optimal outcomes for near-infrar...
Surgeons can minimize the risk of bile duct injury (BDI) during challenging mini-invasive cholecystectomy through technical standardization by means of a precise anatomical landmark identification (Cr...
In this prospective cohort study, we evaluated all consecutive minimally invasive cholecystectomies (laparoscopic and robotic) performed with NIRF-C between May 2022 and January 2023 at General Surger...
A total of 101 consecutive patients were enrolled, including 83 laparoscopic and 18 robotic cholecystectomies. All patients were stratified into three subgroups: (a) emergency group (n = 33, 32.7%), (...
NIRF-C is a powerful real-time diagnostic tool to detect CBD and CD during minimally invasive cholecystectomy, especially when inflammation due to acute or chronic cholecystitis subverted the anatomy ...
T-tube cholangiography and choledochoscopy are commonly used techniques for detecting residual bile duct stones after biliary surgery. However, the utility of routine cholangiography before T-tube rem...
We retrospectively analyzed the clinical data of 287 adult patients who underwent common bile duct exploration with T-tube drainage, followed by T-tube cholangiography and choledochoscopy, at the Depa...
Among the 287 patients, T-tube cholangiography detected residual stones in 38 cases, which were confirmed by choledochoscopy in 29 cases. Conversely, of the 249 patients without evidence of residual s...
There is no significant difference in the diagnostic accuracy between T-tube cholangiography and choledochoscopy for detecting residual bile duct stones after surgery (P = 0.82). The two methods demon...
To assess the predictive value of preoperative serum laboratory test results for identifying choledocholithiasis and reduce the use of cholangioresonance and its inherent costs....
Patients aged 21-69 years who underwent preoperative cholangioresonance examination at our institute were included. Patients with a history of fluctuating jaundice or biliary pancreatitis, bile duct d...
A total of 104 patients were included. For detecting choledocholithiasis using alkaline phosphatase, the cut-off point was 78U/L, sensitivity was 97.6% (95%CI: 87.4-99.9), and specificity was 72.6% (9...
Serum alkaline phosphatase levels may aid preoperative diagnosis of asymptomatic choledocholithiasis. After a global clinical assessment of the patient, serum laboratory findings may contribute to a r...