Summary
The use of intraoperative choledochoscopy represents a significant advance in biliary surgery. Flexible instruments are ideal for examining the intrahepatic bile ducts, while rigid instruments are best suited for the extrahepatic ductal system. The cystic duct stump may be occasionally used for access, but, as a rule, a supraduodenal choledochotomy is necessary. Our experience with 776 examinations is reported. A total of 348 patients (44.8%) had ductal stones. In 10 patients (2.8%), a stone was overlooked. Equivocal cholangiograms, ductal stones, and obstructive tumors constitute the most important indications for endoscopic examination.
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References
Bakes J (1923) Die Choledochoskopie nebst Bemerkungen über Hepaticusdrainage und Dilatation der Papille. Arch Klin Chir 126: 473–483
Berci G, Shore JM (1972) Advances in choledochoscopy. Endoscopy 4: 29–31
Ernst D, Windsor CWO (1982) The use of a rigid choledochoscope in exploration of the common bile duct. Br J Surg 69: 463–464
Finnis D, Rowntree T (1977) Choledochoscopy in exploration of the common bile duct. Br J Surg 64: 661–664
Helpap B (1977) Malignant papillomatosis of the intrahepatic bile ducts. Acta Hepatogastroenterol (Stuttg) 24: 419–425
Kappas A, Alexander-Williams J, Keighley MRB (1979) Operative choledochoscopy. Br J Surg 66: 177–179
Lennert KA (1976) Die intraoperative Choledochoskopie. Chirurg 47: 248–249
Longland CJ (1973) Choledochoscopy in choledocholithiasis. Br J Surg 60: 626–628
Longmire WP Jr, McArthur MS, Bestounis EA, Hiatt J (1973) Carcinoma of the extrahepatic biliary tract. Ann Surg 178: 333–345
Mclver MA, Cooperstown NY (1941) Instrument for visualizing interior of common duct at operation. Surgery 1: 112–114
Mercadier M, Bodard M, Fingerhut A, Chigot JP (1984) Papillomatosis of the intrahepatic bile ducts. World J Surg 8: 30–35
Motson RW, Wood AJ, Dejode LR (1980) Operative choledochoscopy experience with a rigid choledochoscope. Br J Surg 67: 406–409
Nishimura A, Otsubu Y, Den N, Sato H (1972) Aussickerungsfreies Irrigationsverfahren für ein modifiziertes glasfiberoptisches Choledochoskop. Chirurg 43: 571–573
Nora FP, Berci G, Dorazio RA, Kirshenbaum G, Shore JM, Tompkins RK, Wilson S (1977) Operative choledo choscopy, results of a prospective study in several institutions. Am J Surg 133: 105–110
Schmidt HD, Brünner H (1976) Die ascendierende Choledochuspapillomatose. MMW 118: 163–166
Shore JM, Berci G, Morgenstern L (1975) The value of biliary endoscopy. Surg Gynecol Obstet 140: 601–604
Warren KW, Mounthain JC, Loyd-Jones W (1972) Malignant tumors of the bile ducts. Br J Surg 59: 501–505
Way LW, Admirand WH, Dunphy JE (1972) Management of choledocholithiasis. Ann Surg 176: 347–359
Wildegans H (1953) Endoskopie der tiefen Gallenwege. Langenbecks Arch Chir 276: 652–657
Yamakawa T, Komaki F, Shikata J (1978) Biliary tract endoscopy with an improved choledochoscope. Gastrointest Endosc 24: 110–113
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Lennert, K.A. Technique and result of intraoperative choledochoscopy. Surg Endosc 1, 51–54 (1987). https://doi.org/10.1007/BF00703088
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DOI: https://doi.org/10.1007/BF00703088