Skip to main content
SpringerLink
Log in

SAGES clinical spotlight review: intraoperative cholangiography

  • SAGES GUIDELINES
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. MacFadyen BV (2006) Intraoperative cholangiography: past, present, and future. Surg Endosc 20(Suppl 2):S436–S440

    Article  PubMed  Google Scholar 

  2. Reich A (1918) Accidental injection of bile ducts with petrolatum and bismuth paste. JAMA 71:1555

    Article  Google Scholar 

  3. Tenney C, Patterson S (1922) Injection of the bile ducts with bismuth paste. JAMA 78:171

    Article  Google Scholar 

  4. Ginzburg L, Benjamin EW (1930) Lipiodol studies of post-operative biliary fistulae. Ann Surg 91(2):233–241

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Mirizzi PL (1932) La Cholangiografia Durante las Operaciones de las Vias Biliares. Bol Soc Cir Buenos Aires 16:1133

    Google Scholar 

  6. Swenson O, Fisher JH (1952) Utilization of cholangiogram during exploration for biliary atresia. N Engl J Med 247(7):247–248

    Article  CAS  PubMed  Google Scholar 

  7. Lackner J, Volkel L (1957) Die Technik der Intraoperative Cholangiographie unter Verwendung desRoentgen-Bildverstaerkers. Roentgenbl 10:119

    Google Scholar 

  8. Stefanini P (1963) La Roentgentscopia Televisiva Intraoperatoria delle Vie Biliari. Gaz Intern Med E Chir 48:1435

    Google Scholar 

  9. Grace RH, Peckar VG (1968) The value of operative cholangiography using an image intensifier and a television monitor. Br J Surg 55(12):933–938

    Article  CAS  PubMed  Google Scholar 

  10. Whitaker PH, Parkinson EG, Hughes JH (1968) Television fluoroscopy for operative cholangiography. An analysis of 150 cases. Clin Radiol 19(4):368–378

    Article  CAS  PubMed  Google Scholar 

  11. Berci G et al (1978) Operative fluoroscopy and cholangiography. The use of modern radiologic technics during surgery. Am J Surg 135(1):32–35

    Article  CAS  PubMed  Google Scholar 

  12. Tang ST et al (2009) The evaluation of laparoscopy-assisted cholangiography in the diagnosis of prolonged jaundice in infants. J Laparoendosc Adv Surg Tech A 19(6):827–830

    Article  PubMed  Google Scholar 

  13. Overby DW et al (2010) SAGES guidelines for the clinical application of laparoscopic biliary tract surgery. Surg Endosc 24(10):2368–2386

    Article  PubMed  Google Scholar 

  14. Eikermann M et al (2012) Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc 26(11):3003–3039

    Article  CAS  PubMed  Google Scholar 

  15. Ford JA et al (2012) Systematic review of intraoperative cholangiography in cholecystectomy. Br J Surg 99(2):160–167

    Article  CAS  PubMed  Google Scholar 

  16. Buddingh KT et al (2011) Intraoperative assessment of biliary anatomy for prevention of bile duct injury: a review of current and future patient safety interventions. Surg Endosc 25(8):2449–2461

    Article  PubMed  PubMed Central  Google Scholar 

  17. Flum DR et al (2003) Bile duct injury during cholecystectomy and survival in medicare beneficiaries. JAMA 290(16):2168–2173

    Article  CAS  PubMed  Google Scholar 

  18. Sheffield KM et al (2013) Association between cholecystectomy with vs without intraoperative cholangiography and risk of common duct injury. JAMA 310(8):812–820

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Kelley-Quon LI et al (2014) Complications of pediatric cholecystectomy: impact from hospital experience and use of cholangiography. J Am Coll Surg 218(1):73–81

    Article  PubMed  Google Scholar 

  20. Tornqvist B et al (2012) Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study. BMJ 345:e6457

    Article  PubMed  PubMed Central  Google Scholar 

  21. Alvarez FA et al (2014) Impact of routine intraoperative cholangiography during laparoscopic cholecystectomy on bile duct injury. Br J Surg 101(6):677–684

    Article  CAS  PubMed  Google Scholar 

  22. Raval MV, Lautz TB, Browne M (2011) Bile duct injuries during pediatric laparoscopic cholecystectomy: a national perspective. J Laparoendosc Adv Surg Tech A 21(2):113–118

    Article  PubMed  Google Scholar 

  23. Strasberg SM, Hertl M, Soper NJ (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180(1):101–125

    CAS  PubMed  Google Scholar 

  24. Seleem MI, Al-Hashemy AM, Meshref SS (2005) Mini-laparoscopic cholecystectomy in children under 10 years of age with sickle cell disease. ANZ J Surg 75(7):562–565

    Article  PubMed  Google Scholar 

  25. Okazaki T et al (2006) Diagnostic laparoscopy-assisted cholangiography in infants with prolonged jaundice. Pediatr Surg Int 22(2):140–143

    Article  PubMed  Google Scholar 

  26. Hay SA et al (2000) Neonatal jaundice: the role of laparoscopy. J Pediatr Surg 35(12):1706–1709

    Article  CAS  PubMed  Google Scholar 

  27. Houben CH et al (2013) Hitching the gallbladder in laparoscopic-assisted cholecysto-cholangiography: a simple technique. Pediatr Surg Int 29(9):953–955

    Article  CAS  PubMed  Google Scholar 

  28. Holcomb GW 3rd et al (1994) Laparoscopic cholecystectomy in infants and children: modifications and cost analysis. J Pediatr Surg 29(7):900–904

    Article  PubMed  Google Scholar 

  29. Buddingh KT et al (2013) Kumar versus Olsen cannulation technique for intraoperative cholangiography: a randomized trial. Surg Endosc 27(3):957–963

    Article  PubMed  Google Scholar 

  30. Hill SJ et al (2014) Management of the pediatric patient with choledocholithiasis in an era of advanced minimally invasive techniques. J Laparoendosc Adv Surg Tech A 24(1):38–42

    Article  PubMed  Google Scholar 

  31. Fayek SA, Varga C, Lee K (2007) A reliable method for handling the “difficult” cystic duct to obtain a good cholangiogram during laparoscopic cholecystectomy. Surg Endosc 21(6):1020–1022

    Article  CAS  PubMed  Google Scholar 

  32. Ponce J et al (1989) Effect of intravenous glucagon and glucagon-(1-21)-peptide on motor activity of sphincter of Oddi in humans. Dig Dis Sci 34(1):61–64

    Article  CAS  PubMed  Google Scholar 

  33. Mahmud S et al (2001) Radiological treatment of retained bile duct stones following recent surgery using glucagons. Surg Endosc 15(11):1359–1360

    Article  CAS  PubMed  Google Scholar 

  34. Jones RM et al (1983) Reversal of biliary sphincter spasm with low dose glucagon during operative cholangiography. Anaesth Intensive Care 11(2):174–175

    CAS  PubMed  Google Scholar 

  35. Tabak CA et al (1983) Glucagon enhancement of cholangiography. A preliminary report. Arch Surg 118(1):84–85

    Article  CAS  PubMed  Google Scholar 

  36. Evans AF, Whitehouse GH (1980) Further experience with glucagon enhanced cholangiography. Clin Radiol 31(6):663–665

    Article  CAS  PubMed  Google Scholar 

  37. Jarrett LN, Bell GD (1980) Effect of intravenous glucagon on the biliary secretion of a cholangiographic agent in man. Clin Radiol 31(6):657–661

    Article  CAS  PubMed  Google Scholar 

  38. Bordley JT, Olson JE (1979) The use of glucagon in operative cholangiography. Surg Gynecol Obstet 149(4):583–584

    PubMed  Google Scholar 

  39. Evans AF, Whitehouse GH (1979) The effect of glucagon on infusion cholangiography. Clin Radiol 30(5):499–506

    Article  CAS  PubMed  Google Scholar 

  40. Cannon P, Legge D (1979) Glucagon as a hypotonic agent in cholangiography. Clin Radiol 30(1):49–52

    Article  CAS  PubMed  Google Scholar 

  41. Biliotti D et al (1989) Effect of glucagon on sphincter of Oddi motor activity. Digestion 43(4):185–189

    Article  CAS  PubMed  Google Scholar 

  42. Cofer JB et al (1988) Effect of intravenous glucagon on intraoperative cholangiography. South Med J 81(4):455–456

    Article  CAS  PubMed  Google Scholar 

  43. Jarrett LN et al (1982) Glucagon and infusion cholangiography. Br J Radiol 55(652):269–271

    Article  CAS  PubMed  Google Scholar 

  44. Schorr RT, Rogers SN (1987) Intraoperative cardiovascular crisis caused by glucagon. Arch Surg 122(7):833–834

    Article  CAS  PubMed  Google Scholar 

  45. Short SS et al (2013) Laparoscopic common bile duct exploration in children is associated with decreased cost and length of stay: results of a two-center analysis. J Pediatr Surg 48(1):215–220

    Article  PubMed  Google Scholar 

  46. Berrani H et al (2015) Association of N-acetylcysteine and glucagon during percutaneous cholangiography in the treatment of inspissated bile syndrome. Arch Pediatr 22(3):300–302

    Article  CAS  PubMed  Google Scholar 

  47. Pietrabissa A et al (1995) Comparative evaluation of contact ultrasonography and transcystic cholangiography during laparoscopic cholecystectomy: a prospective study. Arch Surg 130(10):1110–1114

    Article  CAS  PubMed  Google Scholar 

  48. Rawlings A et al (2010) Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiography. J Am Coll Surg 211(1):1–7

    Article  PubMed  Google Scholar 

  49. Hublet A et al (2009) Laparoscopic ultrasonography as a good alternative to intraoperative cholangiography (IOC) during laparoscopic cholecystectomy: results of prospective study. Acta Chir Belg 109(3):312–316

    Article  CAS  PubMed  Google Scholar 

  50. Li JW et al (2009) Intraoperative cholangiography in combination with laparoscopic ultrasonography for the detection of occult choledocholithiasis. Med Sci Monit 15(9):MT126–MT130

    PubMed  Google Scholar 

  51. Ludwig K, Bernhardt J, Lorenz D (2002) Value and consequences of routine intraoperative cholangiography during cholecystectomy. Surg Laparosc Endosc Percutan Tech 12(3):154–159

    Article  PubMed  Google Scholar 

  52. Kimura T et al (1999) Laparoscopic ultrasonography and operative cholangiography prevent residual common bile duct stones in laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 9(2):124–128

    CAS  PubMed  Google Scholar 

  53. Csendes A et al (1998) Prevalence of common bile duct stones according to the increasing number of risk factors present. A prospective study employing routinely intraoperative cholangiography in 477 cases. Hepatogastroenterology 45(23):1415–1421

    CAS  PubMed  Google Scholar 

  54. Birth M et al (1998) Prospective randomized comparison of laparoscopic ultrasonography using a flexible-tip ultrasound probe and intraoperative dynamic cholangiography during laparoscopic cholecystectomy. Surg Endosc 12(1):30–36

    Article  CAS  PubMed  Google Scholar 

  55. Hope WW et al (2013) Teaching cholangiography in a surgical residency program. J Surg Educ 70(2):243–247

    Article  PubMed  Google Scholar 

  56. Gyorgy L et al (2006) Evaluation of perioperative cholangiography in one thousand laparoscopic cholecystectomies. Magy Seb 59(2):91–96

    PubMed  Google Scholar 

  57. Wenner DE et al (2005) Actual time required for dynamic fluoroscopic intraoperative cholangiography. JSLS 9(2):174–177

    PubMed  PubMed Central  Google Scholar 

  58. Collins C et al (2004) A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg 239(1):28–33

    Article  PubMed  PubMed Central  Google Scholar 

  59. Waldhausen JH, Graham DD, Tapper D (2001) Routine intraoperative cholangiography during laparoscopic cholecystectomy minimizes unnecessary endoscopic retrograde cholangiopancreatography in children. J Pediatr Surg 36(6):881–884

    Article  CAS  PubMed  Google Scholar 

  60. Videhult P, Sandblom G, Rasmussen IC (2009) How reliable is intraoperative cholangiography as a method for detecting common bile duct stones?: a prospective population-based study on 1171 patients. Surg Endosc 23(2):304–312

    Article  PubMed  Google Scholar 

  61. Singh G et al (2000) Role of selective intra-operative cholangiography during cholecystectomy. Aust N Z J Surg 70(2):106–109

    Article  CAS  PubMed  Google Scholar 

  62. Catheline J, Rizk N, Champault G (1999) A comparison of laparoscopic ultrasound versus cholangiography in the evaluation of the biliary tree during laparoscopic cholecystectomy. Eur J Ultrasound 10(1):1–9

    Article  CAS  PubMed  Google Scholar 

  63. Thompson DM et al (1998) A comparison of laparoscopic ultrasound with digital fluorocholangiography for detecting choledocholithiasis during laparoscopic cholecystectomy. Surg Endosc 12(7):929–932

    Article  CAS  PubMed  Google Scholar 

  64. Rothlin MA et al (1996) Laparoscopic ultrasonography during cholecystectomy. Br J Surg 83(11):1512–1516

    Article  CAS  PubMed  Google Scholar 

  65. Barteau JA et al (1995) A comparison of intraoperative ultrasound versus cholangiography in the evaluation of the common bile duct during laparoscopic cholecystectomy. Surg Endosc 9(5):490–496

    Article  CAS  PubMed  Google Scholar 

  66. Huang L et al (2010) Laparoscopic cholecystocholangiography for diagnosis of prolonged jaundice in infants, experience of 144 cases. Pediatr Surg Int 26(7):711–715

    Article  PubMed  Google Scholar 

  67. Catheline JM et al (1998) Evaluation of the biliary tree during laparoscopic cholecystectomy: laparoscopic ultrasound versus intraoperative cholangiography: a prospective study of 150 cases. Surg Laparosc Endosc 8(2):85–91

    Article  CAS  PubMed  Google Scholar 

  68. Stiegmann GV et al (1995) Laparoscopic ultrasonography as compared with static or dynamic cholangiography at laparoscopic cholecystectomy. A prospective multicenter trial. Surg Endosc 9(12):1269–1273

    Article  CAS  PubMed  Google Scholar 

  69. Massarweh NN et al (2008) Surgeon knowledge, behavior, and opinions regarding intraoperative cholangiography. J Am Coll Surg 207(6):821–830

    Article  PubMed  Google Scholar 

  70. Aziz O et al (2014) Laparoscopic ultrasonography versus intra-operative cholangiogram for the detection of common bile duct stones during laparoscopic cholecystectomy: a meta-analysis of diagnostic accuracy. Int J Surg 12(7):712–719

    Article  PubMed  Google Scholar 

  71. Machi J et al (2009) The routine use of laparoscopic ultrasound decreases bile duct injury: a multicenter study. Surg Endosc 23(2):384–388

    Article  PubMed  Google Scholar 

  72. Biffl WL et al (2001) Routine intraoperative laparoscopic ultrasonography with selective cholangiography reduces bile duct complications during laparoscopic cholecystectomy. J Am Coll Surg 193(3):272–280

    Article  CAS  PubMed  Google Scholar 

  73. Falcone RA Jr et al (1999) A prospective comparison of laparoscopic ultrasound vs intraoperative cholangiogram during laparoscopic cholecystectomy. Surg Endosc 13(8):784–788

    Article  PubMed  Google Scholar 

  74. Catheline JM, Champault G (1998) Laparoscopic ultrasound in abdominal surgery. Acta Chir Belg 98(2):55–61

    CAS  PubMed  Google Scholar 

  75. Neff LP et al (2011) Microlithiasis, endoscopic ultrasound, and children: not just little gallstones in little adults. J Pediatr Surg 46(3):462–466

    Article  PubMed  Google Scholar 

  76. Ishizawa T, Bandai Y, Kokudo N (2009) Fluorescent cholangiography using indocyanine green for laparoscopic cholecystectomy: an initial experience. Arch Surg 144(4):381–382

    Article  PubMed  Google Scholar 

  77. Ishizawa T et al (2009) Intraoperative fluorescent cholangiography using indocyanine green: a biliary road map for safe surgery. J Am Coll Surg 208(1):e1–e4

    Article  PubMed  Google Scholar 

  78. Landsman ML et al (1976) Light-absorbing properties, stability, and spectral stabilization of indocyanine green. J Appl Physiol 40(4):575–583

    CAS  PubMed  Google Scholar 

  79. Mordon S et al (1998) Indocyanine green: physicochemical factors affecting its fluorescence in vivo. Microvasc Res 55(2):146–152

    Article  CAS  PubMed  Google Scholar 

  80. Ishizawa T et al (2010) Fluorescent cholangiography illuminating the biliary tree during laparoscopic cholecystectomy. Br J Surg 97(9):1369–1377

    Article  CAS  PubMed  Google Scholar 

  81. Aoki T et al (2010) Intraoperative fluorescent imaging using indocyanine green for liver mapping and cholangiography. J Hepatobiliary Pancreat Sci 17(5):590–594

    Article  PubMed  Google Scholar 

  82. Kaneko J et al (2012) Indocyanine green reinjection technique for use in fluorescent angiography concomitant with cholangiography during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 22(4):341–344

    Article  PubMed  Google Scholar 

  83. Buchs NC et al (2012) Intra-operative fluorescent cholangiography using indocyanin green during robotic single site cholecystectomy. Int J Med Robot 8(4):436–440

    Article  PubMed  Google Scholar 

  84. Schols RM et al (2013) Fluorescence cholangiography during laparoscopic cholecystectomy: a feasibility study on early biliary tract delineation. Surg Endosc 27(5):1530–1536

    Article  PubMed  Google Scholar 

  85. Spinoglio G et al (2013) Real-time near-infrared (NIR) fluorescent cholangiography in single-site robotic cholecystectomy (SSRC): a single-institutional prospective study. Surg Endosc 27(6):2156–2162

    Article  PubMed  Google Scholar 

  86. Daskalaki D et al (2014) Indocyanine green (ICG) fluorescent cholangiography during robotic cholecystectomy: results of 184 consecutive cases in a single institution. Surg Innov 21(6):615–621

    Article  PubMed  Google Scholar 

  87. Osayi SN et al (2015) Near-infrared fluorescent cholangiography facilitates identification of biliary anatomy during laparoscopic cholecystectomy. Surg Endosc 29(2):368–375

    Article  PubMed  Google Scholar 

  88. Figueiredo JL et al (2010) Intraoperative near-infrared fluorescent cholangiography (NIRFC) in mouse models of bile duct injury. World J Surg 34(2):336–343

    Article  PubMed  PubMed Central  Google Scholar 

  89. Dip FD et al (2014) Cost analysis and effectiveness comparing the routine use of intraoperative fluorescent cholangiography with fluoroscopic cholangiogram in patients undergoing laparoscopic cholecystectomy. Surg Endosc 28(6):1838–1843

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. New Hanover Regional Medical Center, 2131 South 17th Street, Wilmington, NC, 28401, USA

    William W. Hope

  2. Guthrie General Surgery, Sayre, PA, USA

    Robert Fanelli

  3. East Carolina University, Greenville, NC, USA

    Danielle S. Walsh

  4. The Ohio State University, Columbus, OH, USA

    Vimal K. Narula

  5. Intermountain Medical Center, Murray, UT, USA

    Ray Price

  6. Indiana University, Bloomington, IN, USA

    Dimitrios Stefanidis

  7. Ochsner Clinic, New Orleans, LA, USA

    William S. Richardson

Authors
  1. William W. Hope
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Robert Fanelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Danielle S. Walsh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vimal K. Narula
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ray Price
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Dimitrios Stefanidis
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. William S. Richardson
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to William W. Hope.

Ethics declarations

Disclosures

Dr. Hope has a consulting fee/research for Bard/Davol and Gore. Dr. Fanelli is the Owner of Allurion Technologies, Respiratory Motion, Mozaic Medical. He receives royalties from Cook, Inc. He is a governing board member of SAGES, as well as an active committee member of ASGE. He is a director on the American Board of Surgery. He is a consultant for Boston Scientific Corporation. Dr. Stefanidis receives honoraria for teaching for WL Gore and Davol. Dr. Walsh, Dr. Price, and Dr. Richardson have nothing to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hope, W.W., Fanelli, R., Walsh, D.S. et al. SAGES clinical spotlight review: intraoperative cholangiography. Surg Endosc 31, 2007–2016 (2017). https://doi.org/10.1007/s00464-016-5320-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-016-5320-0

Keywords

Search

Navigation