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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 3 (1978), S. 401-406 
    ISSN: 1432-0509
    Keywords: Surgical radiology ; Operative cholangiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A system of image amplification with television fluoroscopy and 100 × 100 mm cut film technique is presented for use in the operating room. Biliary surgery has benefited from this equipment as operative cholangiography has been improved and unnecessary extension of operating time avoided. Applications of the equipment for other procedures are discussed.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Optics and Laser Technology 8 (1976), S. 31-37 
    ISSN: 0030-3992
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Electrical Engineering, Measurement and Control Technology , Physics
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 308 (1964), S. 756-760 
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Eine kontrollierbare Fistel wurde beim Hund angelegt. Diese Fistel eignet sich sehr gut, um funktionelle oder organische Vorgänge in den extrahepatischen Gallengängen verfolgen zu können. Es wurden rostfreie Stahlkugeln in die Gallenblase gesetzt und von den Tieren in wöchentlichen Abständen Röntgenaufnahmen (Cholangiographie) verfertigt. Alle Fremdkörper (imitierte Steine) sind spontan abgegangen. Die Gallengänge haben sich deutlich erweitert. Obzwar dieses Experiment ein “subakutes” war und die experimentellen Erfahrungen nur mit Einschränkung auf den Menschen bezogen werden können, glauben wir, daß sich doch einige Erkenntnisse übertragen lassen.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 5-15 
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 1-3 
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 1095-1098 
    ISSN: 1432-2218
    Keywords: Key words: Laparoscopy — Laparoscopic cholecystectomy — Common bile duct — Cholangiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: The role of intraoperative fluorocholangiography (IOC) in laparoscopic cholecystectomy (LC) is controversial. We evaluated the use of IOC at an institution where the study is performed routinely. Methods: Records of all patients undergoing LC during a 3-year period ending January 1, 1996 were reviewed. Results: A total of 1207 patients received IOC, whereas 116 patients did not. IOC findings were categorized as follows: normal, 1016 cases (84%); CBD stone, 149 cases (12.3%); anomalies, 23 cases (1.9%); duodenal diverticula, 10 cases (0.8%); ductal strictures, four cases (0.3%); and CBD diverticula, 5 cases (0.4%). In the 116 patients who did not receive IOC, 35 of the procedures could not be performed, whereas 81 were not attempted. Of the 149 IOC that showed CBD stones, two were false positives. Anomalies included accessory right hepatic ducts (11 cases), cystic ducts joining the right hepatic duct (seven cases), and abnormal cystic duct entries (five cases). Duct injuries occurred in 5 cases (0.4%), three before and two after IOC. Four injuries were minor; IOC prevented CBD transection. Conclusions: Routine IOC is feasible, safe, accurate, and provides critical information of immediate use during LC. By treating ductal stones at operation and identifying patients without CBD stones, IOC minimizes need for postoperative studies, including endoscopic retrograde cholangiography (ERC).
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 1168-1175 
    ISSN: 1432-2218
    Keywords: SAGES ; Common bile duct ; Management
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Laparoscopic common bile duct exploration (CBDE) was the subject of a multi-institutional study on 226 patients from 19 major hospital centers. Female patients predominated (2.3:1); the average age was 54; 75% of cases were chronic, and the remainder were acute. Although 97% had preoperative ultrasonograms, only 12% showed a stone in the dilated common bile duct. The alkaline phosphatase was elevated in 41% and the serum bilirubin in 28% of cases. Preoperative endoscopic retrograde cholangiography with sphincterotomy (ERC-ES) was performed in 8.5%; there was a successful stone extraction in less than half the cases. Cholangiography was performed in 99.5%, and in 94% of those cases, stones were found. In 83% of cases, stones were removed through the transcystic approach, and in 17% removal was throughout the CBD. In the majority of cases, the choledochoscope and wire basket (34%), irrigation (33%), or a combination of both was employed. In the transcystic group, 5% were converted to open procedures due to technical difficulty, as contrasted with the trans-CBD route, where the conversion rate was 19%. There were two ductal injuries. Minor complications occurred in 5.7% within 24 h; there was one death (0.4%). Within 30 days, the morbidity rate was 7% and there were no deaths. Retained stones were discovered in 2.6% of cases. Laparoscopic CBDE is a feasible approach for CBD stones which permits a definitive procedure in one stage, without pre- or postoperative ES. It is a skill which should be mastered by the biliary surgeon. Further improvement in instrumentation and technique should make the laparoscopic approach not only comparable but preferable to the standard open choledocholithotomy.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 165-166 
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-2218
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 211-217 
    ISSN: 1432-2218
    Keywords: Key words: Display systems — Image relay — Laparoscopy — Television laparoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Endoscopy created a new epoch in gynecology and general surgery. After a decade of learning experiences and expansion of laparoscopic surgery in a variety of areas, the need to further miniaturize the endosurgical approach surfaced. This, however, requires a better knowledge about the tools that surgeons must or wish to employ in minimal access surgery. For miniaturization, the quality of the image on the TV monitor is critical. Methods: We examined two miniature optical systems: the quartz-fiber (2.0–2.2 mm) and the rod-lens (3.3-mm) relay technologies. Results: The smaller quartz telescope image was found to be brighter but lacking in other important features that are important in diagnosis and surgical manipulations. Conclusions: Because the detail, clarity, and the color display affect decision making and the course taken, the brand of telescope has to be selected according to the particular application. By following this guideline, a number of diagnostic and therapeutic procedures can be performed using smaller instruments with the patient under local anesthesia with sedation or under general anesthesia in an outpatient setting.
    Type of Medium: Electronic Resource
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