-
Digestive Endoscopy : Official Journal... Sep 2018
Topics: Aged; Bile Duct Neoplasms; Biliary Tract Surgical Procedures; Biopsy, Needle; Cholangiocarcinoma; Cholangiography; Common Bile Duct; Cystic Duct; Endoscopy, Digestive System; Humans; Immunohistochemistry; Jaundice, Obstructive; Male; Risk Assessment; Treatment Outcome
PubMed: 29786893
DOI: 10.1111/den.13192 -
Ganka. Ophthalmology May 1969
Review
Topics: Child, Preschool; Female; Humans; Infant; Infant, Newborn; Lacrimal Duct Obstruction; Male
PubMed: 4902933
DOI: No ID Found -
Angiology Jan 1974
Topics: Adolescent; Adult; Congenital Abnormalities; Dilatation; Female; Fistula; Hodgkin Disease; Humans; Iatrogenic Disease; Liver Cirrhosis; Lymphangioma; Lymphography; Mediastinal Neoplasms; Pleural Effusion; Thoracic Duct; Thoracic Injuries; Thoracic Neoplasms; Valsalva Maneuver
PubMed: 4812130
DOI: 10.1177/000331977402500111 -
Radiology Nov 1992During elective laparoscopic cholecystectomy, 20 patients underwent intraoperative evaluation of the biliary tract with a commercial 6.2-F, 12.5-MHz catheter-based...
During elective laparoscopic cholecystectomy, 20 patients underwent intraoperative evaluation of the biliary tract with a commercial 6.2-F, 12.5-MHz catheter-based ultrasound (US) probe. The study tested the feasibility of this technology for mapping the anatomy of the hepatoduodenal ligament and Calot triangle, assessing bile duct integrity, and detecting choledocholithiasis. The duct was studied with a transmural approach, the catheter being placed parallel to, but remaining outside, the bile duct. The common hepatic duct and common bile duct in the vicinity of the cystic duct were seen in all 20 patients; the junction of the cystic duct with the common hepatic duct was seen in nine patients (45%). After the cystic duct was clamped, no sonographic evidence to suggest bile duct injury was noted in any patient. The transmural imaging approach was tested in four pigs in whose common bile duct a single human calculus had been placed. In all instances the size and location of the calculus were accurately detected. Intraoperative US with a catheter-based system is a safe and effective means for interrogation of the extrahepatic biliary tree during laparoscopic cholecystectomy.
Topics: Adult; Animals; Bile Ducts; Catheterization; Cholecystectomy, Laparoscopic; Cholelithiasis; Common Bile Duct; Cystic Duct; Gallstones; Hepatic Duct, Common; Humans; Image Enhancement; Intraoperative Care; Prospective Studies; Swine; Ultrasonography
PubMed: 1410361
DOI: 10.1148/radiology.185.2.1410361 -
Histopathology Sep 2006
Topics: Adenoma, Bile Duct; Bile Duct Neoplasms; Bile Ducts, Intrahepatic; Female; Humans; Immunohistochemistry; Middle Aged; Oxyphil Cells
PubMed: 16918984
DOI: 10.1111/j.1365-2559.2006.02441.x -
Revista Espanola de Medicina Nuclear E... 2017
Topics: Adult; Bile Duct Neoplasms; Carcinoma; Epithelial Cells; Fluorine Radioisotopes; Fluorodeoxyglucose F18; Hepatic Duct, Common; Humans; Lymphocytes; Male; Positron Emission Tomography Computed Tomography; Radiopharmaceuticals
PubMed: 27836588
DOI: 10.1016/j.remn.2016.06.009 -
Surgical Laparoscopy & Endoscopy Dec 1992After laparoscopic exploration of the common bile duct, or when a patient has acute cholecystitis, the cystic duct is sometimes edematous and too large to be ligated...
After laparoscopic exploration of the common bile duct, or when a patient has acute cholecystitis, the cystic duct is sometimes edematous and too large to be ligated safely with an Endoclip. In such cases, ligation of the cystic duct with an Endoloop offers a solution to the problem. The standard technique for application of an Endoloop consists of dividing the cystic duct and then applying the Endoloop. This becomes more difficult if, after the cystic duct is divided, loss of traction on the common bile duct results in retraction of the divided cystic stump outside of the laparoscopic field of view. To avoid this difficulty, the authors apply an Endoloop with the grasping forceps on the cystic duct before the duct is divided so that it cannot retract from operative view and for this task developed an instrument that allows simultaneous introduction of both grasping forceps and the Endoloop through a single port.
Topics: Acute Disease; Cholecystectomy, Laparoscopic; Cholecystitis; Common Bile Duct Diseases; Cystic Duct; Humans; Ligation
PubMed: 1341555
DOI: No ID Found -
Gastrointestinal Endoscopy Dec 2004
Topics: Adult; Bile Duct Diseases; Biliary Fistula; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy, Laparoscopic; Diagnosis, Differential; Dilatation, Pathologic; Female; Hepatic Duct, Common; Humans; Pain, Postoperative; Stents; Ultrasonography
PubMed: 15605017
DOI: 10.1016/s0016-5107(04)02199-6 -
The Netherlands Journal of Medicine 2006A case is described emphasising rare complication of gallstone disease: the Mirizzi syndrome in which an impacted gallstone in the Hartmann's pouch or cystic duct causes...
A case is described emphasising rare complication of gallstone disease: the Mirizzi syndrome in which an impacted gallstone in the Hartmann's pouch or cystic duct causes common hepatic duct obstruction and by eroding a fistula. Diagnosis is made by endoscopic retrograde cholangiopancreatography and treatment includes cholecystectomy.
Topics: Adult; Biliary Fistula; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy; Cholestasis, Extrahepatic; Female; Gallstones; Hepatic Duct, Common; Humans; Syndrome
PubMed: 16929088
DOI: No ID Found -
Surgery, Gynecology & Obstetrics Aug 1988Formal exploration of the common bile duct through choledochotomy is a standard surgical technique; however, the prevalence of postoperative morbidity and mortality from...
Formal exploration of the common bile duct through choledochotomy is a standard surgical technique; however, the prevalence of postoperative morbidity and mortality from intraoperative extraction of stones and debris of the common duct remains significant. From 1982 to present, we performed 25 explorations of the common bile duct entirely through the cystic duct in patients in whom duct size was large enough to permit passage of instrumentation greater than 6.5 millimeters in diameter. All instrumentation, including biliary Fogarty balloon-tipped catheterization and fiberoptic choledochoscopy, was used through the cystic duct without difficulty. No complications of bile leakage or stricture formation were encountered, and all patients are doing well at five and one-half years after surgical treatment without known retained stones. The early community hospital experience of this report supports the view that exploration of the common bile duct through a suitably sized cystic duct is a safe, efficient and effective alternative to choledochotomy for exposure of the common bile duct.
Topics: Adult; Aged; Aged, 80 and over; Cholangiography; Cholecystectomy; Common Bile Duct; Cystic Duct; Female; Gallstones; Humans; Male; Methods; Middle Aged
PubMed: 3400033
DOI: No ID Found