0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Laparoscopic Cholecystectomy, Intraoperative Cholangiograms, and Common Duct Injuries

Karl Y. Bilimoria, MD, MS1,2; Jeanette Chung, PhD1,2; Nathaniel J. Soper, MD1
[+] Author Affiliations
1Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
2Northwestern Institute for Comparative Effectiveness Research, Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA. 2013;310(8):801-803. doi:10.1001/jama.2013.276206.
Text Size: A A A
Published online

Extract

In the late 1980s, laparoscopic cholecystectomy was quickly adopted because it reduced the morbidity associated with the operation and had a relatively straightforward learning curve. However, compared with the open procedure, laparoscopic cholecystectomy was also associated with an increased incidence of common duct injuries, generally due to misinterpretation of the biliary anatomy during the operation. Common duct injuries can have devastating consequences. Although common duct injury rates have decreased slightly through the years, they have not been eliminated and remain a serious risk.13 Observational studies of intraoperative cholangiography (which involves placing a catheter into the cystic duct, injecting contrast material, and obtaining radiographs) have examined whether intraoperative cholangiography may reduce the risk of common duct injury during cholecystectomy, but the results of these studies have not been consistent.47

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 3

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();