A cystic duct with no visible signal on magnetic resonance cholangiography is associated with laparoscopic difficulties: an analysis of 695 cases

Background/aims We investigated the association between the magnetic resonance cholangiography (MRC) results and surgical difficulties and bile duct injuries during laparoscopic cholecystectomy (LC). Methods MRC was performed on 695 consecutive patients before LC. We divided the patients into two gr...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2014-08, Vol.44 (8), p.1490-1495
Main Authors: Shimizu, Yasuhito, Otani, Taiichi, Matsumoto, Jun, Takanishi, Kijuro, Minami, Tomohito, Tsunoda, Hiroko, Miyazaki, Masaru
Format: Article
Language:English
Subjects:
Adult
Aged
Bile Ducts - injuries
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy - methods
Cholecystectomy - statistics & numerical data
Cholecystectomy, Laparoscopic - adverse effects
Cystic Duct - pathology
Cystic Duct - surgery
Female
Gallbladder Diseases - diagnosis
Gallbladder Diseases - pathology
Gallbladder Diseases - surgery
Humans
Intraoperative Complications - epidemiology
Intraoperative Complications - prevention & control
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Surgery
Surgical Oncology
Time Factors
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Summary:Background/aims We investigated the association between the magnetic resonance cholangiography (MRC) results and surgical difficulties and bile duct injuries during laparoscopic cholecystectomy (LC). Methods MRC was performed on 695 consecutive patients before LC. We divided the patients into two groups (visible cystic duct group and “no signal” cystic duct on MRC group) and compared them with regard to the length of the operation, conversion rate to open cholecystectomy (OC) and rate of bile duct injury. Results The “no signal” cystic duct on MRC group had a longer operation and higher rate of conversion to OC compared with the visible cystic duct group. However, there was no statistically significant difference in the occurrence rate of bile duct injury between the two groups. Conclusions The “no signal” cystic duct on MRC group was associated with laparoscopic difficulties, but not with an increased rate of biliary injury. When a visible cystic duct is not observed on MRC an early conversion to open surgery may avoid a bile duct injury during LC.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-013-0715-1