Assessment of positive perioperative cholangiography in patients undergoing elective laparoscopic cholecystectomy

Objective: To evaluate the positivity of cholangiography in patients without formal indication of this exam undergoing elective cholecystectomy. Methods: We included, in the study, 100 patients whose clinical, laboratory and imaging not older than 10 days before the operation showed no change and therefore kept us unsuspicious of choledocholithiasis. The cholangiographies were analyzed and examined by the surgical team, the radiologist and the authors. The reports were compared and correlated with patients’ previous clinical and laboratory findings. Results: The incidence of preoperatively unsuspected choledocholithiasis was only one case (1%). Conclusion: The use of selective cholangiography is safe and should be used in the treatment of calculous

[1]  D. Birkett,et al.  Common bile duct exploration for choledocholithiasis. , 2008, The Surgical clinics of North America.

[2]  D. Flum,et al.  Surgeon knowledge, behavior, and opinions regarding intraoperative cholangiography. , 2008, Journal of the American College of Surgeons.

[3]  M. Darcy,et al.  Iatrogenic bile duct injury during laparoscopic cholecystectomy. , 2008, Techniques in vascular and interventional radiology.

[4]  P. Capitanich,et al.  Tratamiento laparoscópico de la litiasis de la vía biliar principal asociada a litiasis vesicular , 2008 .

[5]  Robert V. Rege,et al.  Costs and Utilization of Intraoperative Cholangiography , 2007, Journal of Gastrointestinal Surgery.

[6]  T. Tham,et al.  Gallstone disease: Symptoms, diagnosis and endoscopic management of common bile duct stones. , 2006, Best practice & research. Clinical gastroenterology.

[7]  I. Broeders,et al.  Gallstone disease: Surgical aspects of symptomatic cholecystolithiasis and acute cholecystitis. , 2006, Best practice & research. Clinical gastroenterology.

[8]  Shih-Chi Wu,et al.  Selective Intraoperative Cholangiography and Single-Stage Management of Common Bile Duct Stone in Laparoscopic Cholecystectomy , 2005, World Journal of Surgery.

[9]  Daniel B. Jones,et al.  Laparoscopic common bile duct exploration , 2005 .

[10]  J. Gonçalves,et al.  Predição da coledocolitíase pela associação de indicadores clínicos e laboratoriais em dois momentos do pré-operatório da colecistectomia , 2005 .

[11]  A Kashfi,et al.  Robot‐assisted abdominal surgery , 2004, The British journal of surgery.

[12]  José Gustavo Parreira,et al.  Fatores preditivos de coledocolitase em doentes com litase vesicular , 2004 .

[13]  G. Maddern,et al.  Is laparoscopic intraoperative cholangiogram a matter of routine? , 2004, American journal of surgery.

[14]  G. O'sullivan,et al.  A Prospective Study of Common Bile Duct Calculi in Patients Undergoing Laparoscopic Cholecystectomy: Natural History of Choledocholithiasis Revisited , 2004, Annals of surgery.

[15]  S. Cheslyn-Curtis,et al.  Selective cholangiography in 600 patients undergoing cholecystectomy with 5-year follow-up for residual bile duct stones. , 2003, Annals of the Royal College of Surgeons of England.

[16]  K. Ludwig,et al.  Value and Consequences of Routine Intraoperative Cholangiography During Cholecystectomy , 2002, Surgical laparoscopy, endoscopy & percutaneous techniques.

[17]  E. Yasojima,et al.  Colangiografia peroperatória sistemática em colecistectomia videolaparoscópica , 2002 .

[18]  James A. Young,et al.  Robotic Surgical Training in an Academic Institution , 2001, Annals of surgery.

[19]  L. Weinstein,et al.  Erratum to: Evaluation of operative cholangiography in 2043 patients undergoing laparoscopic cholecystectomy: a case for the selective operative cholangiogram , 2001, Surgical Endoscopy.

[20]  N. Matolo,et al.  Selective Intraoperative Cholangiography during Laparoscopic Cholecystectomy: How Selective? , 2000, The American surgeon.

[21]  P. García,et al.  Colangiografía transoperatoria en colecistectomía laparoscópica: ¿sistemática o selectiva? , 2000 .

[22]  J. Sackier,et al.  Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy? , 1991, American journal of surgery.

[23]  P. Mirizzi [Operative cholangiography]. , 1950, Revista espanola de las enfermedades del aparato digestivo y de la nutricion.