medigraphic.com
ISSN 1665-2576 (Print)

2007, Number 2

<< Back Next >>

Rev Mex Cir Endoscop 2007; 8 (2)

Transoperative cholangiography, a routine procedure

Ortiz de la Peña RJA, Golffier RCE, Hernández PRE, Orozco OP

Language: Spanish
References: 11
Page: 55-59
PDF size: 115.73 Kb.


ABSTRACT

From January 1999 to January 2006, 356 Laparoscopic Cholecystectomy were performed, with 352 transcystic cholangiography as part of the same procedure. Of them, 214 patients were female and 142 male, with in the age of 27 and 84 years, being the media 50.5 years. The diagnosis was as followed: Chronic lithiasic cholecystitis in 215 patients (60.39%), acute lithiasic cholecystitis in 89 patients (24.43%), none lithiasic acute cholecystitis in 26 patients (7.3%), hidrops cholecystitis in 20 patients (5.4%), emphysematous cholecystitis in 8 patients (2.24%), gallbladder cancer in 4 patients (1.12%), stones in the biliary track in 29 patients (18.14%). The average time for the cholangiography in the last 50 to 70 patients was between 4 an 6 min. The morbility and the mortality was 0%, the average cost for the cholangiography was $1,200.00 pesos at the ABC Medical Center. Patients were followed for up to 12 months. This is a routine procedure that has to be performed in every laparoscopic cholecystectomy.


REFERENCES

  1. Wechsler RL. The first application of transhepatic cholangiography to the localization of liver or biliary tract pathology: Hanoi, 1937. Am J Dig Dis 1975; 20(7): 699-700.

  2. Dempsey PJ. Cholecystosonography for the diagnosis of cholecystolithiasis. Ann Surg 1978; 187(5): 465-74.

  3. Herman RE. The spectrum of billiary stone disease. Ann Surg 1989: 158-171.

  4. Cynthia WKO, Lee SP. Epidemiology and natural history of common bile duct stones and prediction of disease. Gastroint Endoscopy 2002; 56 (6 Suppl): 165-9.

  5. Metcalfe S, Metcalfe MBC, Thao Ong. Is Laparoscopic intraoperative cholangiogram a matter of routine. Am J Surg 2004; 187: 475-81.

  6. Stuart SA, Simpson T, Alvord LA. Routine intraoperative laparoscopic cholangiography. Am J Surg 1998; 176 (6): 632-7.

  7. Talamini MA. Routine vs selective intraoperative cholangiography during cholecystectomy. JAMA 2003; 283: 1691.

  8. Millard PCJ. Texas attorney helping victims of botched laparoscopic cholecystectomy surgery. Disponible en: [http:// www.millard-law.com/PracticeAreas/Laparoscopic-Injuries.asp]

  9. Ludwig K. Value and consequences so a routine intraoperative cholangiography during cholecystectomy. Surg Laparosc Endosc Percutan Tech 2002; (3): 154-9.

  10. Fletcher y David R, Hobbs MST, Tan P et al. Complications of cholecystectomy; Risks of the Laparoscopic approach and protective effects of operative cholangiography: A population based study. Ann Surg 1999; 229(4): 449-457.

  11. Flum DR, Patchen DE, Cheadle A. Intraoperative cholangiography and risk of common Bile duct injury during cholecystectomy. JAMA 2003; 289(13): 1639-44.




2020     |     www.medigraphic.com