Obligatory intraoperative cholangiography in laparoscopic cholecystectomy

• Published in: Chirurg Vol. 64; no. 5; p. 412
• Main Authors: Lotz, G W, Stahlschmidt, M, Moergel, K
• Format: Journal Article
• Language: German
• Published: Germany 01.05.1993
• Subjects: Cholangiography - instrumentation; Cholecystectomy, Laparoscopic - instrumentation; Cholecystitis - diagnostic imaging; Cholecystitis - surgery; Cholelithiasis - diagnostic imaging; Cholelithiasis - surgery; Common Bile Duct - diagnostic imaging; Common Bile Duct - injuries; Common Bile Duct - surgery; Cystic Duct - diagnostic imaging; Cystic Duct - injuries; Cystic Duct - surgery; Female; Gallbladder Neoplasms - diagnostic imaging; Gallbladder Neoplasms - surgery; Gallstones - diagnostic imaging; Gallstones - surgery; Humans; Iatrogenic Disease; Intraoperative Complications - diagnostic imaging; Intraoperative Complications - surgery; Male; Middle Aged; Monitoring, Intraoperative - instrumentation; Postoperative Complications - diagnostic imaging; Postoperative Complications - surgery; Reoperation
• ISSN: 0009-4722

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.