100 CONSECUTIVE LAPAROSCOPIC CHOLANGIOGRAMS - RESULTS AND CONCLUSIONS

Citation
Bj. Carroll et al., 100 CONSECUTIVE LAPAROSCOPIC CHOLANGIOGRAMS - RESULTS AND CONCLUSIONS, Surgical endoscopy, 10(3), 1996, pp. 319-323
Citations number
25
Categorie Soggetti
Surgery
Journal title
ISSN journal
09302794
Volume
10
Issue
3
Year of publication
1996
Pages
319 - 323
Database
ISI
SICI code
0930-2794(1996)10:3<319:1CLC-R>2.0.ZU;2-0
Abstract
Background: In 100 consecutive patients who underwent laparoscopic cho lecystectomy, the feasibility, reliability, and cost of routine laparo scopic cholangiography were prospectively studied. Methods: Fluoroscop ic cholangiograms with multiple exposures were successfully completed in all patients in an average time of 6.9 min. Results: Twenty-one per cent were abnormal, and 15 common duct stones and 6 significant anatom ic anomalies detected. Thirteen out of 15 patients with common duct st ones had preoperative suspicion of common duct stones. Two out of 15 w ere completely unsuspected. The average cost of cholangiography was $7 68, and there were no complications related to the procedure. There we re no false interpretations, Conclusions: When compared with selective preoperative endoscopic retrograde cholangiopancreatography (ERCP), r outine laparoscopic cholangiography is safer, more accurate, and less costly, and may have the added benefit of potentially reducing iatroge nic injuries in patients with anatomic variations, Routine laparoscopi c cholangiography should be considered by all surgeons.