Biliary tract complications of laparoscopic cholecystectomy are detected more frequently with routine intraoperative cholangiography
| Autor: | John G. Hunter, Richard A. Kozarek, J. Windsor, D. R. Fletcher, M. Oddsdottir, J. Tsao, John H. Donohue, L W Traverso, Michael S. Woods, Ricardo L. Rossi |
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| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Bile duct business.industry General surgery medicine.medical_treatment Gallbladder Iatrogenic Disease Surgery Dissection Intraoperative Period medicine.anatomical_structure Cholangiography Cholecystectomy Laparoscopic Biliary tract Laparotomy medicine Cystic duct Humans Wounds and Injuries Cholecystectomy Bile Ducts business |
| Zdroj: | Surgical endoscopy. 9(10) |
| ISSN: | 0930-2794 |
| Popis: | Controversy over whether intraoperative cholangiography (IOC) should be done routinely has intensified since the advent of laparoscopic cholecystectomy (LC). As yet, no study has demonstrated a clear benefit to its use, although their have been suggestions in the literature that routine use may confer an advantage to detection of injuries. One-hundred seventy-seven biliary tract complications occurring secondary to LC were identified from the combined data of seven institutions. The goal of this retrospective study was to examine the impact of IOC on the occurrence, recognition, and correction of such complications. The complications identified include 39 cystic duct leaks, 69 major ductal leaks or strictures, and 69 major ductal transection or excision injuries. Whether IOC was performed was known in 157 (88%) patients with 53 patients definitely having and 104 not having an IOC. Data concerning IOC were unavailable in 20 cases. More injuries were detected intraoperatively in the group having IOC (P |
| Databáze: | OpenAIRE |
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