PRJ, Fuente LM, Orozco OP

Language: Spanish
References: 8
Page: 185-187
PDF size: 37.46 Kb.

ABSTRACT

Objective: Evaluate not just the usefulness of trans-surgical, trans-cystic cholangiography, but as well the time it takes to perform this procedure, the morbi-mortality that goes with it and the possibility to include it as a part of the procedure itself. Design: Retrospective, transversal, descriptive and observational study. Institution: ABC Hospital. Method: 150 laparoscopic cholecystectomies with trans-cystic cholangiography where analyzed consecutively, being the study part of the procedure itself. Results: 150 laparoscopic cholecystectomies, with trans-surgical, trans-cystic cholangiographies were performed being 98 women and 52 men. 36 patients presented acute litiasic cholecystitis and 114 chronic lithiasic cholecystitis. Two patients had choledocholithiasis. Average time used for the trans-surgical cholangiography was 7.5 minutes. There were no accidents or secondary incidents nor complications. Conclusion: The trans-surgical trans-cystic cholangiography apparently has some protective effect over the bile duct. It is a simple procedure that does not carry any morbi-mortality and does not increase significantly surgical time. It should be performed as part of the procedure itself.

REFERENCES

1. Bernard HR, Hartman TW. Complications after laparoscopic cholecistectomy. Am J Surg 1993; 165: 533-555.

2. Garden OJ. Iatrogenic injury to the bile duct. Br J Surg 1991; 78: 1412-1413.

3. Windsor JA, Vokes DE. Early laparoscopic biliary injury: experience in New Zealand. Br J Surg 1994; 81: 1208-1211.

4. Fletcher DR. Complications of Cholecistectomy. Risk of laparoscopic approach and protective effects of operative cholangiography. Ann Surg 1999;229:449-57.

5. Cohen MM, Young W, Theriault ME et al. Has laparoscopic cholecistectomy change patterns of practice and patient outcome in Ontario? Can Med Assoc J 1996; 154: 491-500.

6. Rusell JC, Walsh SJ, Mattie AS et al. Bile duct injuries, 1989-1993. A stetewide experience. Connecticut laparoscopic cholecistectomy registry. Arch Surg 1996; 131: 382-388.

7. Perissat J, Collet D, Belliart R et al. Laparoscopic cholecistectomy: the state of the art. A report of 7000 consecutive cases. World J Surg 1992; 16: 1074-1082.

8. Woods MS, Trverso LW, Kosarek RA et al. Biliary tract complications of laparoscopic cholecistectomy are detected more frequently with routine intraoperative cholangiography. Surg Endosc 1995; 9: 1076-1080.