HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Role of routine intraoperative cholangiography during laparoscopic cholecystectomy.

AbstractBACKGROUND:
Routine intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy (LC), a radiologic contrast-based examination of the bile duct, can represent a systemic approach to avoiding common bile duct injury
MATERIAL AND METHOD:
This was a prospective study, conducted in the Department of General Surgery, Government Medical College/Rajindra Hospital, Patiala. 100 consecutive patients suffering from symptomatic gall stones undergoing LC were included in the study. The intraoperative cholangiograms were obtained. Two films were taken in addition to a preoperative scout film. The films were immediately interpreted. The catheter was taken out and the gall bladder was removed as usual, and ports were taken out after putting drain in the abdominal cavity.
RESULTS:
A total of 100 patients were included in the study. Average age was 43.7 years and majority of them were females (80%). 60% of patients presented with pain abdomen while 40% presented with dyspepsia along with pain abdomen. Out of the 100, successful cannulation of the cystic duct was achieved in 92 patients. There was significant additional operating time ranging from 17 to 42 min with mean time of 24.82 min. There was no intraoperative complication. Total additional cost of IOC was in range of Rs. 2200-2500. No patient re-presented to us with biliary symptoms within 18 months of surgery.
CONCLUSION:
In our study, we conclude that routine IOC was successful and safe, yields information that was not useful to alter operative management. The operating time was significantly longer but there was no significant difference in the hospital stay. Routine IOC decreases the readmission rate with post cholecystectomy syndrome, which occurs in 10-40% of the post cholecystectomy patients.
AuthorsAshwani Kumar, Upasna Kumar, Anand Munghate, Ashvind Bawa
JournalSurgical endoscopy (Surg Endosc) Vol. 29 Issue 9 Pg. 2837-40 (Sep 2015) ISSN: 1432-2218 [Electronic] Germany
PMID25480620 (Publication Type: Clinical Trial, Journal Article)
Topics
  • Adult
  • Aged
  • Cholangiography
  • Cholecystectomy, Laparoscopic
  • Common Bile Duct (diagnostic imaging, injuries)
  • Female
  • Gallstones (surgery)
  • Humans
  • Intraoperative Care (methods)
  • Intraoperative Complications (prevention & control)
  • Length of Stay
  • Male
  • Middle Aged
  • Operative Time
  • Prospective Studies
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: