caa a22 4500 475779797 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000076 doi (NATIONALLICENCE)springer-10.1007/s004640000076 Intraoperative cholangiography during laparoscopic cholecystectomy [Elektronische Daten] [A. Vezakis, D. Davides, B. J. Ammori, I. G. Martin, M. Larvin, M. J. McMahon] Background: The routine use of intraoperative cholangiography (IOC) during laparoscopic cholecystectomy remains controversial. Methods: A retrospective review of 950 consecutive laparoscopic cholecystectomies performed during an 8-year period was performed. For the first 2 years, IOC was performed selectively, and thereafter routinely. Results: Attempted in 896 patients, IOC was successful in 734 (82%). Bile duct stones were found in 77 patients (10%), dilated ducts without stones in 47 patients (6%), and anatomic variations in 4 patients (0.5%). There were four (0.4%) minor intraoperative complications related to the IOC, with no consequences for the patients. There were three (0.3%) minor injuries of the bile duct, which were identified with IOC and repaired at the time of cholecystectomy without any consequences for the patients. In two of these patients, the structure recognized and catheterized as the cystic duct was revealed by IOC to be the bile duct. Thus IOC prevented extension to a major common bile duct (CBD) injury. Conclusions: Findings show that IOC is a safe technique. Its routine use during laparoscopic cholecystectomy may not prevent bile duct injuries, but it minimizes the extent of the injury so that it can be repaired easily without any consequences for the patient. The prevention of a major bile duct injury makes IOC cost effective. Springer-Verlag New York Inc., 2000 Key words: Bile duct injury — Cholangiography — Common bile duct calculi — Laparoscopic cholecystectomy nationallicence Vezakis A. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut Davides D. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut Ammori B. J. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut Martin I. G. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut Larvin M. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut McMahon M. J. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1118-1122 0930-2794 14:12<1118 2000 14 464 https://doi.org/10.1007/s004640000076 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000076 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vezakis A. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 700 1- Davides D. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 700 1- Ammori B. J. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 700 1- Martin I. G. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 700 1- Larvin M. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 700 1- McMahon M. J. Leeds Institute for Minimally Invasive Therapy, General Infirmary and University Division of Surgery, Great George Street, Leeds LS1 3EX, England, GB aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1118-1122 0930-2794 14:12<1118 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer