[The cystic duct stump after laparoscopic cholecystectomy].
The aim of this study was to evaluate the length of cystic-duct stumps after laparoscopic cholecystectomy. 113 patients underwent intravenous cholangiography 2 to 3 months postoperatively, whereby a cystic-duct remnant of up to 1 cm was found in 34.5% (n = 39) and between 1 and 2 cm in 36.3% (n = 41). In 24.8% (n = 28) a stump measuring 2 to 3 cm was registered and in 4.4% (n = 5) the cystic-duct remnant was more than 3 cm. Possible consequences with regard to the development of the postcholecystectomy syndrome are discussed. In our experience laparoscopic cholangiography seems to be a useful procedure to detect cysticolithiasis and as preliminary measure to undertaking the correct therapeutic steps. Adherence of this strategy might avoid possible later complications by elimination of their principal cause.
Keiler
A
A
Abteilung für Allgemein- und Gefässchirurgie, Barmherzigen Schwestern, Ried im Innkreis.
Pernegger
C
C
Hornof
R
R
Wenzl
S
S
Brandtner
W
W
D002758:Cholangiography; D002763:Cholecystectomy; D003549:Cystic Duct / Q000000981:diagnostic imaging*; D006801:Humans; D010535:Laparoscopy; D008111:Liver Function Tests; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012189:Retrospective Studies