[Is it necessary to perform routine intraoperative cholangiography during cholecystectomy?].
The intraoperative cholangiography was carried out in 361 patients with gallstone disease. In 293 (81.16%) patients cholangiography was normal, in 68 (18.83%) was abnormal. Thirty-six (9.97%) patients had pre-operative asymptomatic common bile duct calculi and 20 (5.54%) patients had confirmed suspect of common bile duct calculi during cholangiography. Twelve (3.32%) patients were false-positive and one (0.27%) was false-negative. It is discussed the value of routine intraoperative cholangiography in patients with gallstone disease.
Chaib
E
E
Disciplina de Cirurgia do Aparelho Digestivo, Faculdade de Medicina, Universidade de São Paulo.
Freire
A N
AN
Cantanhede
A V
AV
Santana
L L
LL
Onófrio
P L
PL
de Mello
J B
JB
D000293:Adolescent; D000328:Adult; D000368:Aged; D002758:Cholangiography; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000000981:diagnostic imaging; D003951:Diagnostic Errors; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
E necessário realizar colangiografia operatória como rotina nas colecistectomias?