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ISSN 1405-0099 (Print)

2001, Number 1

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Cir Gen 2001; 23 (1)

Transoperative cholangiography during laparoscopic surgery

Mijares CG, Corona BA, Toro IM, García SN

Language: Spanish
References: 21
Page: 36-39
PDF size: 28.44 Kb.


ABSTRACT

Objective: To report our experience with trans-surgical cholangiography during laparoscopic surgery of the gallbladder and biliary tract.
Setting: Third level health care hospital.
Design: Retrospective, observational study.
Patients and methods: We analyzed the clinical files of 188 patients who had been subjected to cholangiography during laparoscopic surgery of the gallbladder in a 4 years and 2 months period, from a universum of 1221 cholecystectomies. Three techniques were used for the trans-surgical cholangiography: Transcystic, cholecystocholangriography, and direct puncture on the biliary tract. We analyzed the following variables: age, gender, indication for the cholangiography, result of it, duration and morbidity.
Results: Most patients were women (155), the other 33 were men. Ages ranged from 15 to 92, with an average of 47 years. From the 188 cholangiographies, 180 were useful for diagnosis and the other eight not; 21 revealed pathology, 18 revealed choledocolithiasis, 3 were false positives, and the remainder 159 were normal. Average duration of the cholangiography was 30 min for the first 50 subjects and 15 min for the remainder. The procedure did not cause morbidity.
Conclusion: Trans-surgical cholangiography is a useful procedure for cholecystectomy through laparoscopic approach.


REFERENCES

  1. Dubois F, Icard P, Berthelot G, Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg 1990; 211: 60-2.

  2. Perissat J, Collet D, Belliart R, Desplantez J, Magne E. Laparoscopic cholecystectomy: the state of the art. A report on 700 consecutive cases. World J Surg 1992; 16: 1074-82.

  3. Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW. Laparoscopic cholecystectomy. The new gold standard? Arch Surg 1992; 127: 917-21; discussion 921-3.

  4. Mirizzi PL. Operative cholangiography. Surg Gynecol Obstet 1937; 65: 702-10.

  5. Ponsky JL. Complications of laparoscopic cholecystectomy. Am J Surg 1991; 161: 393-5.

  6. Gerber A, Apt MK. The case against routine operative cholangiography. Am J Surg 1982; 143: 734-6.

  7. Kitahama A, Kertein MD, Overby JL, Kappelman MD, Webb WR. Routine intraoperative cholangiogram. Surg Gynecol Obstet 1986; 162: 317-22.

  8. Bogokowsky H, Slutzki S, Zaidenstein L, Halpern Z, Negri M, Abramsohn R. Selective operative cholangiography. Surg Gynecol, Obstet 1987; 164: 124-6.

  9. Skillings JC, Williams JS, Hinshaw JR. Cost effectiveness of operative cholangiography. Am J Surg 1979; 137: 26-31.

  10. Voyles CR, Petro AB, Meena AL, Haick AJ, Koury AM. A practical approach to laparoscopic cholecystectomy. Am J Surg 1991; 161: 365-70.

  11. Berci G, Sackier JM, Paz–Partlow M. Routine or selected intraoperative cholangiography during laparoscopic cholecystectomy? Am J Surg 1991; 161: 355-60.

  12. Lillemoe KD, Yeo CJ, Talamini MA, Wang BH, Pitt HA, Gadaez TR. Selective cholangiography. Current role in laparoscopic cholecystectomy. Ann Surg 1992; 215: 669-74; discussion 674-6.

  13. Grace PA, Qureshi A, Burke P, Leahy A, Brindley N, Osborne H, et al. Selective cholangiography in laparoscopic cholecystectomy. Br J Surg 1993; 80: 244-6.

  14. Phillips EH. Routine versus selective intraoperative cholangiography. Am J Surg 1993; 165: 505-7.

  15. Flowers JL, Zucker KA, Graham SM, Scovill WA, Imbembo AL, Bailey RW. Laparoscopic cholangiography. Results and indications. Ann Surg 1992; 215: 209-16.

  16. Sackier JM, Berci G, Phillips E, Carroll B, Shapiro S, Paz-Partlow M. The role of cholangiography in laparoscopic cholecystectomy. Arch Surg 1991; 126: 1021-5; discussion 1025-6.

  17. Madhavan KK, Macintyre IM, Wilson RG, Saunders JH, Nixon SJ, Hammer–Hodges DW. Role of intraoperative cholangiography in laparoscopic cholecystectomy. Br J Surg 1995; 82: 249-52.

  18. Sabharwal AJ, Minford EJ, Marson LP, Muir IM, Hill D, Auld CD. Laparoscopic cholangiography: a prospective study. Br J Surg 1998; 85: 624-6.

  19. Stuart SA, Simpson TI, Alvord LA, Williams MD. Routine intraoperative laparoscopic cholangiography. Am J Surg 1998; 176: 632-7.

  20. Willekes CL, Edoga JK, Castronuovo JJ Jr, Widmann WD, McLean ER Jr, Chevinsky AH. Technical elements of successful laparoscopic cholangiography as defined by radiographic criteria. Arch Surg 1995; 130: 398-400.

  21. Vargas Domínguez A, Fernández Hidalgo E. Estudio en cien colangiografías transoperatorias. Rev Gastroenterol Mex 1987; 52: 89-93.




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