Intra-operative cholangiography is not necessary in avoiding bile duct injury (ten years review)

  • L. Hireche Professor de Cirurgia da Universidade de Argel Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • A. Ali-yahia Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • S. Boudiaf Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • H. Jneid Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • E. H. Lakrouf Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • S. Mahfouf Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia
  • A. Ouslimani Departamento de Cirurgia, Hôpital Salim Zemirli, El-Harrach, Argel, Argélia

Abstract

The debate about routine intra-operative cholangiography (IOC) during laparoscopic cholecystectomy (LC) is still open. Bile duct injuries remain the main complication of this procedure. The question is: how to avoid the most feared complication of LC? The authors report a retrospective study of 1111 LC underwent in their department the last ten years. IOC wasn’t done in most cases due to pre operative performances of ultrasound and bili-MRI. Their own technique has given them good results despite this. Their experience allows them to declare that this x-ray exam is not necessary during the procedure in most of patients presenting gallstone disease. 

Keywords: bile duct injuries, laparoscopic cholecystectomy, prevention 


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Published
2014-03-21
How to Cite
HIRECHE, L. et al. Intra-operative cholangiography is not necessary in avoiding bile duct injury (ten years review). Revista Portuguesa de Cirurgia, [S.l.], n. 28, p. 13-16, mar. 2014. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/355>. Date accessed: 13 july 2024.
Section
Original Papers