Transcystic duct operative cholangiography. Personal experiences with 500 consecutive cases.
Of 500 consecutive cholecystectomy patients, sixty-nine had clinical indications for common bile duct exploration and twenty-nine of these yielded stones for an overall accuracy rate of 42%. Of the 431 remaining patients, thirty-six demonstrated abnormal cholangiograms and in these, twenty-six yielded stones within the common duct, representing and incidence of 6% of unsuspected stones. Of the total series of 500 patients, sixty-one showed cholangiographic indications for common duct exploration and fifty were positive for stones for an overall accuracy of 82%. The overall incidence of common duct stone recovery was 11%. It is concluded that transcystic duct operative cholangiography should be performed routinely during cholecystectomy when feasible.
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000295:instrumentation; D002758:Cholangiography / Q000009:adverse effects / Q000379:methods*; D002763:Cholecystectomy; D003549:Cystic Duct; D003937:Diagnosis, Differential; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality