Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2004 Oct;47(5):343-6.

Results of cholecystectomy without intraoperative cholangiography

John W Lorimer  1
Affiliations

Results of cholecystectomy without intraoperative cholangiography

John W Lorimer. Can J Surg. 2004 Oct.

Abstract
in English, French

Background: To determine if cholecystectomy can be performed satisfactorily without the use of adjunctive intraoperative cholangiography (IOC), we planned a retrospective analysis at a Canadian university teaching hospital.

Methods: General operative morbidity and mortality (in particular, occurrences and complications of missed choledocholithiasis and reoperations for same, and occurrences of bile duct injuries and bile leaks) were noted and analyzed for a consecutive series of cholecystectomies from a single practice, carried out without IOC.

Main results: In general, choledocholithiasis could be identified and treated before the operation; missed cases were infrequent and were treatable without reoperation. No major injuries to the bile duct were encountered.

Conclusions: IOC appears to be optional with cholecystectomy; cholecystectomy can be performed without IOC safely in the defined setting, without related major complications from missed choledocholithiasis or excess occurrence of bile-duct injury.

Contexte: Pour déterminer s'il est possible de pratiquer une cholécystectomie satisfaisante sans avoir à recourir à une cholangiographie intraopératoire (CIO) d'appoint, nous avons planifié une analyse rétrospective à un hôpital universitaire canadien.

Méthodes: On a noté la morbidité et la mortalité opératoires générales (en particulier, les occurrences et les complications de cholédocholithiase ratée et des nouvelles opérations pour la même cause, les occurrences de lésions du cholédoque et les fuites de bile) et on les a analysées pour une série consécutive de cholécystectomies d'une seule pratique, réalisés sans CIO.

Principaux résultats: En général, on a pu identifier et traiter la cholédocholithiase avant l'intervention; les cas non repérés étaient peu fréquents et ont pu être traités sans une nouvelle intervention. On n'a constaté aucune lésion majeure du cholédoque.

Conclusions: La CIO semble facultative avec la cholécystectomie, qu'il est possible de pratiquer sans CIO en toute sécurité, dans le contexte défini, sans complication majeure connexe à la suite d'une cholédocholithiase non repérée ou de l'occurrence excessive de lésions du cholédoque.

PubMed Disclaimer

References

    1. Bartlett MK, Waddell WR. Indications for common-duct exploration: evaluation in 1000 cases. N Engl J Med 1958;258:164- 7. - PubMed
    1. Mirizzi PL, Quiroza Losada C. La exploracion de las vias biliares principales en el curso de la operacion. Proc Third Argentinian Cong Surg 1931;1:694.
    1. Hutchinson WB, Blake T. Operative cholangiography. Surgery 1957:41:605-12. - PubMed
    1. Hillis TM, Westbrook KC, Caldwell FT, Read RC. Surgical injury of the common bile duct. Am J Surg 1977;134:712-6. - PubMed
    1. Pagana TJ, Stahlgren LH. Indications and accuracy of operative cholangiography. Arch Surg 1980;115:1214-5. - PubMed