Intra-operative cholangiography is not necessary in avoiding bile duct injury (ten years review)
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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S.Cheslyn Curtis, M. Emberton, H. Ahmed, RCW Williamson, A. Habib Bile duct injury following laparoscopic cholecystectomy Br. J. Surg, 1992, vol 79, March, 211-212
JP Chigot Le risque opératoire dans la lithiase biliaire Ann. Chir, 1981,15,5-11
A. Cinelli Contribucion de la colangiografia operatoria en la prophylaxis de heridas accidentales Prensa argentina , 1967, 54,21-22.
B. Delaitre, P. Testas, F. Dubois Complications de la cholécystectomie laparoscopique Lyon Chir,1992,88,170-175
O. Detry, A. De Roover, B. Detroz, P. Honoré The role of intra-operative cholangiography on detecting and preventing bile duct injuries during laparoscopic cholecystectomy. Acta Chir Belgg, 2001,101,161-162
GE Shallahy, C. Slow, C. Sherp, A. Mughrabi, A.M.H Nassar Intra-operative cholangiography time in laparoscopic cholecystectomy Surg. Endosc, 2005,1170-1172
L. Hireche Contribution à l’étude des lésions accidentelles de la voie biliaire principale Thèse, Médecine, Alger, 1970.
J.G Hunter Avoidance of bile duct injury during laparoscopic cholecystectomy Am.J. Surg 1991,162,71-76
D.Keith Lillemoe,CJ.Yeo,Mark Talamini,Bernadette H Wang BS, Henry Pitt Thomas R,Gadacz Selective cholangiography;current role in laparoscopic cholecystectomy John Hopkins Hospital, Baltimore
Lawrence W,L Stewart,W.Gantert,Liu Kingsway,CM Lee, K.Whang, J.G.Hunter Causes and prevention of laparoscopic bile duct injuries
Ann. Surg 2001 April 217 (4)
U.Lepner, V. Grünthal Intra-operative cholangiography can be safely omitted during laparoscopic cholecystectomy. Prospective study of 411 consecutive patients. Scandinavian Journal of Surgery 94, 197-200, 2005
JM Sackier, G.Berci,E.Phillips The role of cholangiography in laparoscopic cholecystectomy Arch.Surg 1991,126,1021-1026
TM Schroder, Ky .Linko Laparoscopic cholecystectomy without cholangiography Eur.J. Surg, 1995, 421-424
Y. Yamashita and all Surgical treatment of patients with acute cholecystitis Tokyo guidelines J.Hepatobiliary Pancreati Surg (2007) 14, 91-97
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