ArticleCanadian journal of surgery. Journal canadien de chirurgie2017
Intraoperative ultrasonography of the biliary tract using saline as a contrast agent: a fast and accurate technique to identify complex biliary anatomy.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 15 citations in OpenAlex.
- Surgical management of post-cholecystectomy isolated sectoral duct injury.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Article
- Comparative validation of intraoperative ultrasound versus intraoperative cholangiography for the detection of choledocholithiasis.Langenbeck's archives of surgery · 2026Article
- Management of Anastomotic Strictures Following Roux-en-Y Hepaticojejunostomy: Our Experience.Cureus · 2026Article
- Real-Time Depiction of Intrahepatic Biliary Anatomy During Recipient Surgery with Contrast-Enhanced Ultrasonography in Living-Donor Liver Transplantation.The American journal of case reports · 2024Article
- Review
- Assessment of a novel biliary-specific near-infrared fluorescent dye (BL-760) for intraoperative detection of bile ducts and biliary leaks during hepatectomy in a preclinical swine model.Lasers in surgery and medicine · 2023Article
- A scoping review of penile implant biofilms-what do we know and what remains unknown?Translational andrology and urology · 2022Article
- Bile cell‑free DNA as a novel and powerful liquid biopsy for detecting somatic variants in biliary tract cancer.Oncology reports · 2019Article
- Penile prosthesis biofilm formation and emerging therapies against them.Translational andrology and urology · 2018Review
- Intraoperative ultrasonic cholangiography for biliary system identification.Canadian journal of surgery. Journal canadien de chirurgie · 2018Article
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5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIntraoperative assessment of biliary tract anatomy is relevant for a number of benign and malignant hepatobiliary diseases. During biliary reconstruction, drainage of all relevant bile ducts is imperative to prevent atrophy of undrained segment, cholangitis and secondary biliary cirrhosis. Intraoperative cholangiography, though widely used for intraoperative imaging of the biliary tract, involves heavy equipment use, radiation risk and has a limited role in the evaluation of isolated segmental bile ducts.
methodsWe evaluated the use of a novel technique of intraoperative ultrasonography of the biliary tract using normal saline as a contrast agent. It involves injecting saline in any part of the biliary system while performing real-time intraoperative 2-dimensional ultrasonography.
resultsThis procedure was carried out in intraoperative situations to delineate complex biliary anatomy involving segmental bile ducts. Excellent image quality was obtained in the form of opacification and demarcation of the liver segment to which the duct belongs. The flow of saline microbubbles was clearly visible on real-time ultrasound images, leading to accurate identification of the duct.
conclusionIntraoperative ultrasonography with saline as a contrast agent can accurately identify small isolated segmental bile ducts and help in surgery of the biliary tract. It is a simple and inexpensive technique that can be performed with minimal resources.
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