Use of laparoscopic ultrasound in emergency surgery for cholelithiasis
https://doi.org/10.17709/2410-1893-2026-13-1-7
EDN: VEODYK
Abstract
Laparoscopic ultrasound provides a wide range of intraoperative diagnostic capabilities during endoscopic abdominal procedures. The absence of key limitations inherent to radiographic cholangiography makes laparoscopic ultrasound a potential alternative method for diagnosing complicated forms of cholelithiasis.
Purpose of the study. To summarize current evidence on the use of laparoscopic ultrasound during surgical interventions for biliary tract diseases.
Materials and methods. A literature review was conducted of publications from 1997 to 2024 indexed in PubMed and Google Scholar using the following keywords: “laparoscopic ultrasound,” “intraoperative ultrasound,” “radiographic cholangiography,” “acute cholecystitis,” “laparoscopic cholecystectomy,” and “choledocholithiasis”.
Results. Analysis of the selected studies highlights the specific ultrasound semiotics of the biliary tract. Comprehensive visualization and interpretation of the structures within the hepatoduodenal ligament contribute to safer surgical procedures and reduce the rate of unplanned conversions. Laparoscopic ultrasound demonstrates high diagnostic accuracy in detecting choledocholithiasis, comparable to radiographic cholangiography. However, only a limited proportion of surgeons routinely incorporate laparoscopic ultrasound into their practice.
Conclusion. Laparoscopic ultrasound represents a viable alternative to radiographic cholangiography. Its advantages include the possibility of repeated intraoperative use, reduced risk of bile duct injury, and shortened overall diagnostic time.
About the Authors
A. V. Gusev
https://ivgmu.ru
Ivanovo State Medical University
Ivanovo State Medical University
Ivanovo, Russian Federation
Aleksandr V. Gusev – Dr. Sci. (Medicine), Professor, Head of the Department of General Surgery and Endoscopy, Ivanovo State Medical University, Ivanovo, Russian Federation
Competing Interests:
The author declares that there are no obvious and potential conflicts of interest related to the publication of this article.
D. A. Bobrov
https://ivgmu.ru
Ivanovo State Medical University
Ivanovo State Medical University
Ivanovo, Russian Federation
Dmitriy A. Bobrov – Assistant, Department of Faculty Surgery, Ivanovo State Medical University, Ivanovo, Russian Federation
Competing Interests:
The author declares that there are no obvious and potential conflicts of interest related to the publication of this article.
A. Yu. Solovev
https://ivgmu.ru
Ivanovo State Medical University
Ivanovo State Medical University
Ivanovo, Russian Federation
Aleksandr Yu. Solovev – Assistant, Department of General Surgery and Endoscopy, Ivanovo State Medical University, Ivanovo, Russian Federation
Competing Interests:
The author declares that there are no obvious and potential conflicts of interest related to the publication of this article.
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For citations:
Gusev A.V., Bobrov D.A., Solovev A.Yu. Use of laparoscopic ultrasound in emergency surgery for cholelithiasis. Research and Practical Medicine Journal. 2026;13(1):83-94. (In Russ.) https://doi.org/10.17709/2410-1893-2026-13-1-7. EDN: VEODYK
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