الفهرس 
Biliary tree AnatomyOnly 14 pages are availabe for public view
 |  | from | 32 |  |  |
| | | from | 32 | | |
Abstract
Background: The routine use of IOC is still controversial. Some authors supporting routine IOC, while others favour selective IOC. The IOUS probe provides a new modality for evaluating biliary anatomy and detection of Choledocholithiasis during laparoscopic cholecystectomy. it is considered faster, more safe and non-invasive technique.
Methods: This prospective randomized study included 30 patients with history of calcular obstructive jaundice with no present obstructive jaundice preoperatively which was conducted in the department of surgery, Theodor Bilharz Research Institute (TBRI), from 2014 to 2015 each patient undergo laparoscopic ultrasound followed by laparoscopic intraoperative cholangiogram during laparoscopic cholecystectomy. We then compared the procedure time, visualization of biliary tree, detection of any CBD stone, detection of biliary or vascular anomalies, failure of IOC and any intra-or postoperative complications in the form of obstructive jaundice (missed CBD stone) or iatrogenic biliary injury (bile leakage).
Results: There was a significant difference in the time of procedure with mean time of 9.733 min ± 1.252 (3-25) in IOUS and 14.60 min ± 1.326 (5-30) in IOC. While mean CBD diameter is 5.280 mm ± 0.6957 (2.8–18) in IOUS and 7.010 mm ± 0.7162 (3.5–22) in IOC with no significant differences.