Selective Cholangiography Current Role in Laparoscopic Cholecystectomy
نویسندگان
چکیده
منابع مشابه
Selective Intraoperative Cholangiography in Laparoscopic Cholecystectomy.
INTRODUCTION Laparoscopic cholecystectomy (LC) is probably one of the most frequent surgical procedure performed worldwide. Intraoperative cholangiography (IOC) is required more often than in open procedures due to the need to clarify the anatomy or to diagnose common bile duct (CBD) stones. AIM The present study analyzes the value of IOC performed on selective basis following preoperative an...
متن کاملIntraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use?
PURPOSE To investigate clinical, laboratory and ultrasonographic parameters in patients with and without preoperative criteria for intraoperative cholangiography (IOC) during laparoscopic cholecystectomy in order to define predictive factors of choledocolithiasis. METHODS As a criterion for inclusion in the study the patients should present chronic calculous cholecystitis in the presence or a...
متن کاملOperative cholangiography during laparoscopic cholecystectomy: considerations about routine or selective policy.
Operative cholangiography (OC) during laparoscopic cholecystectomy (LC) is still a matter of debate regarding its routine or selective use. The present report is based upon a series of 30 selective cholangiographies performed in 290 LC during the years 1999-2004. Indications to OC were decided according to clinical data, liver chemistries, ultrasonographic (US) and intraoperative findings. In c...
متن کاملSelective preoperative endoscopic retrograde cholangiography with sphincterotomy avoids bile duct exploration during laparoscopic cholecystectomy.
A policy of preoperative endoscopic retrograde cholangiography (ERC) for suspected bile duct stones was used in 1507 patients considered for laparoscopic cholecystectomy in three district general hospitals. Altogether 306 patients underwent ERC, and bile duct cannulation was achieved in 276 (90%). Bile ducts were cleared by endoscopic sphincterotomy in 128 of 161 patients (79%) with proven duct...
متن کاملBile duct injury and use of cholangiography during laparoscopic cholecystectomy.
BACKGROUND Bile duct injury (BDI) remains the most serious complication of laparoscopic cholecystectomy (LC). A Swiss database was used to identify risk factors for BDI and to assess the effect of intraoperative cholangiography (IOC). METHODS Data for patients from 114 Swiss institutions who underwent LC for acute or chronic cholecystitis between 1995 and 2005 were used in univariable and log...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1992
ISSN: 0003-4932
DOI: 10.1097/00000658-199206000-00014