000			031900000a22003490004500
003			EG-GICUC
005			20250223032221.0
008			061016s2005 ua a f m 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC
041	0		_aEng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2005.Mo.E.
100	0		_aMohamed Ahmed Tawfik
245	1	0	_aEvaluation of peroperative cholangiography through the gallbladder (cholecysto - cholangiography) during laparoscopic cholecystectomy / _cMohamed Ahmed Tawfik ; supervised Mohamed Kadry Mohamed Kadry , Ibrahim Galal Khalifa
246	1	5	_aتقويم استخدام الاشعة بالصبغة من خلال المرارة لتصوير القناة المرارية اثناء عملية استئصال المرارة بالمنظار الجراحي
260			_aCairo : _bMohamed Ahmed Tawfik , _c2005
300			_a134P : _bill ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty Of Medicine - Department Of General Surgery
520			_aNumerous techniques for cholangiography during laparoscopic cholecystectomy have been described ; almost all of which require cannulation of the cystic ductFor the infrequent user , it can be time consuming and difficult procedureThe wide variety of techniques , catheters and forceps used to aid cannulation testify to this difficulty10 patients with symptomatizing gallbladder stones were studied in this series5 of them were evaluated for cholecysto - cholangiography and the other 5 for transcystic - cholangiographyThe success rate in cholecysto - cholangiography approached 80 with excellent quality films obtainedDelineation of anatomy approached 85 ; 75for transcystic cholangiography ; and exposure time to radiation compares favourably with cystic duct cannulation with a mean time 24minsCholecysto - cholangiography added less than 11mins to the procedure ; mean 104mins , while transcystic cholangiography added an extra 30mins ; mean 31minsThere were no cholangiogram related complications or false positive findings in our series with a smooth follow up period for one monthOur early experience with the procedure of cholecysto - cholangiography , and based upon the results of our study we conclude that laparoscopic cholecysto - cholangiography is a safe , simple , quick and inexpensive method of intraoperative cholangiography that can be used as an alternative to cystic duct cholangiography ; with virtually no 'learning curve'' ; to identify biliary anatomy prior to laparoscopic dissection whereby possible iatrogenic injury to the hepatic or common bile duct can be avoidedThe acceptance of this procedure may encourage surgeons to perform cholangiography during laparoscopic cholecystectomy
530			_aIssued also as CD
653		4	_aCholangiography
653		4	_aCholecysto - cholangiography
653		4	_aLaparoscopic cholecystectomy
700	0		_aAyman Ihab Nafeh , _esupervisor
700	0		_aIbrahim Galal Khalifa , _esupervisor
700	0		_aMohamed Kadry Mohamed Kadry , _esupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aEnas _eCataloger
905			_aMustafa _eRevisor
942			_2ddc _cTH
999			_c70666 _d70666