Cholecystography Laparoscopic

Laparoscopic cholecystography: Review of the method and its application

In modern medicine, there is a wide range of diagnostic methods for studying diseases of the gallbladder and biliary tract. One of these methods is laparoscopic cholecystography, which allows you to visualize the gallbladder and assess its functional state. In this article we will consider the main aspects of this method and its application in surgical practice.

Laparoscopic cholecystography is a diagnostic procedure that is performed during surgery with opening of the abdominal cavity. The main feature of this method is that the contrast agent is injected directly into the gallbladder during puncture. This allows you to obtain detailed and accurate images of the structure and function of the biliary system.

The laparoscopic cholecystography procedure is usually performed in the following sequence. First, the patient undergoes laparoscopic access to the abdominal cavity. The surgeon then makes a small puncture in the gallbladder and injects a contrast agent. The contrast agent fills the gallbladder and bile ducts, allowing the doctor to conduct a detailed examination of these structures. Pictures are taken using a laparoscopic camera, which transmits images to a monitor.

The main advantages of laparoscopic cholecystography are high diagnostic accuracy and minimal invasiveness of the procedure. Thanks to the use of laparoscopic access, the surgeon is able to observe the process in real time and obtain high-quality images. This makes it possible to identify various pathologies of the gallbladder, such as stones, tumors, inflammatory processes and structural deformations.

Laparoscopic cholecystography is an important tool for confirming the diagnosis and planning surgical treatment of gallbladder diseases. With its help, you can determine such parameters as the size and number of stones, the condition of the walls of the gallbladder and its contractile function. This allows the surgeon to make an informed decision about whether to remove the gallbladder or choose another treatment method.

Despite its advantages, laparoscopic cholecystography has some limitations. The procedure requires a certain level of skill on the part of the surgeon and may be difficult if there are abnormalities or complications, such as inflammation of the gallbladder or the presence of large stones. In addition, laparoscopic cholecystography may not be informative enough if there are extensive adhesions or other structural changes in the surrounding tissues.

In conclusion, laparoscopic cholecystography is a valuable tool for diagnosing diseases of the gallbladder and biliary tract. It is highly accurate, produces detailed images and is a minimally invasive procedure. However, before performing laparoscopic cholecystography, it is necessary to take into account its limitations and consult with an experienced surgeon. In general, this procedure is an important tool for determining further treatment tactics for patients with gallbladder diseases.



Laparosopic cholecystography (HLH) is an endoscopic intraoperative method for X-ray examination of the gallbladder of the extrahepatic bile ducts using a thin long needle. It is carried out to diagnose diseases of the gallbladder, its ducts and extrahepatic bile ducts, and is used to detect stones

Mechanism of action of the method

The method is carried out during surgery, when the surgeon opens the abdominal cavity; Contrast injected into the bile duct can be visible on an x-ray intravenously or through a thin needle located in the bile duct.