PMID: 8453125Feb 1, 1993Paper

Routine or selective intraoperative cholangiography in laparoscopic cholecystectomy

Journal of Laparoendoscopic Surgery
M A CarlsonS E Wilson

Abstract

The routine versus selective use of intraoperative cholangiography has been the subject of debate for some time. Most authors currently advocate routine intraoperative cholangiography with laparoscopic cholecystectomy. The authors report their experience with the selective and routine utilization of intraoperative cholangiography at two institutions. At institution A, 155 laparoscopic cholecystectomies were attempted, and 21 cholangiograms were performed (based on preoperative criteria of ultrasound, liver function tests, and history of jaundice, or intraoperative anatomical uncertainty). At institution B, 164 laparoscopic cholecystectomies were attempted and 127 cholangiograms were performed (a routine intraoperative cholangiography policy). At institution A, there were no common bile duct injuries but there was one retained stone. At institution B, there was one common bile duct injury and no retained stones. The patient with the retained stone from institution A had a preoperative indication (total bilirubin = 4.4 mg/dl) for a cholangiogram, but it was not performed due to technical difficulties. This patient later required endoscopic sphincterotomy with stone extraction. One patient at institution B had a choledochotomy whi...Continue Reading

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Citations

Oct 21, 2005·International Journal of Clinical Practice·M E C McFarlaneD I G Mitchell
Mar 26, 2004·American Journal of Surgery·Matthew S MetcalfeGuy J Maddern
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hakan MutluEsref Kizilkaya
Feb 1, 1995·The British Journal of Surgery·K K MadhavanD W Hamer-Hodges
Oct 3, 2006·Journal of Hepato-biliary-pancreatic Surgery·Takeyuki MisawaKatsuhiko Yanaga
May 14, 2020·Surgical Endoscopy·L Michael BruntUNKNOWN Prevention of Bile Duct Injury Consensus Work Group
May 15, 2020·Annals of Surgery·L Michael BruntUNKNOWN and the Prevention of Bile Duct Injury Consensus Work Group
Oct 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Iestyn M ShapeyLam C Tan

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