COMPARATIVE ANALYSIS OF PREOPERATIVE ULTRASONOGRAPHY REPORTS WITH INTRAOPERATIVE SURGICAL FINDINGS IN CHOLELITHIASIS.
BACKGROUND
Laparoscopic cholecystectomy is widely used for cholelithiasis. Abdominal ultrasonography often precedes this operation and can prove diagnosis, as well as helps in showing possible complications during the perioperative period.


OBJECTIVE
Evaluate the description of variables of gallbladder and bile ducts present in reports of preoperative abdominal ultrasonography in cholelithiasis comparing with surgical findings.


METHODS
Were studied 91 patients who underwent elective laparoscopic cholecystectomy with previous abdominal ultrasonography. Variables such as identification and amount of gallstones involved were evaluated, both in preoperative ultrasonography and during surgery to evaluate sensitivity, specificity, concordance and positive and negative predictive values.


RESULTS
The reports did not mention diameter of vesicular light (98.9%), organ distension (62.6%), gallstone sizes (58.2%), wall thickness (41.8%) and evaluation of the common bile duct (39.6%). Ultrasound had high values for sensitivity, consistency and positive predictive value for identifying the presence/absence of gallstones: 98.8%, 96.7% and 97.8% respectively. As for the amount of stones, ultrasonography showed agreement in 82.7%, negative predictive value in 89.1% and specificity in 87.7%, with lower values for sensitivity (68.2%) and positive predictive value (65.2%).


CONCLUSIONS
The ultrasound reports were flawed in standardization. Significant percentage of them did not have variables that could predict perioperative complications and surgical conversion.
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Flávio
F
Kreimer
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Daniel José Dias
DJ
Cunha
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Carolina Cavalcanti Gonçalves
CC
Ferreira
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Thais Menezes
TM
Rodrigues
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Lucas Gomes de Morais
LG
Fulco
Integral Medicine Institute Prof. Fernando Figueira, Recife, PE, Brazil.
Eduardo Sávio Nascimento
ES
Godoy
D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000000981:diagnostic imaging* / Q000601:surgery*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies; D014463:Ultrasonography