[Obligatory intraoperative cholangiography in laparoscopic cholecystectomy].
Despite growing experience with laparoscopic cholecystectomy in up to now 1100 operations lesions of the bile ducts sometimes occur. We therefore decided to perform intraoperative cholangiography obligatorily and increased our rate of intraoperative X-ray control from 30% in the first 500 operations to 98.2% in the last 500 operations. The mean operation time in the radiography group was 44.8 min. After introduction of intraoperative cholangiography no bile duct lesions were encountered, but in 4.6% of all patients with this examination previously unknown choledocholithiasis was diagnosed.
Lotz
G W
GW
Allgemeinchirurgische Abteilung, St. Vincenz, und Elisabeth-Hospital Mainz.
Stahlschmidt
M
M
Moergel
K
K
D002758:Cholangiography / Q000295:instrumentation*; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery*; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D003549:Cystic Duct / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D005260:Female; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation
Die obligatorische intraoperative Cholangiographie bei der laparoskopischen Cholecystektomie.