Choledochoscopy via the cystic duct: evaluation of a new ultrathin disposable choledochoscope.

Abstract:

:A 2 mm fibreoptic choledochoscope with a disposable (resterilisable) flexible section was evaluated in 25 cadavers and 13 patients undergoing cholecystectomy. It was possible to pass the instrument via the cystic duct (CD) into the common bile duct (CBD) in 23 out of 25 cadavers and in 12 out of 13 patients. The CD diameter in cadavers was 2.4 mm (SD 0.5). Optical clarity was excellent and it was easy to pass into the duodenum, but proximal passage required mobilisation of the CD/CBD junction. This instrument may be a useful adjunct or even an alternative to intraoperative cholangiography.

journal_name

Ann R Coll Surg Engl

authors

Dennis MJ,James MJ,Wherry D,Doran J,Morris DL

subject

Has Abstract

pub_date

1989-09-01 00:00:00

pages

320-1

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

71

pub_type

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