The importance of intraoperative cholangiography during laparoscopic cholecystectomy.

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dc.authorscopusid59060565800
dc.authorscopusid56463009000
dc.authorscopusid6602090538
dc.authorscopusid8309201700
dc.contributor.authorPolat F.R.
dc.contributor.authorAbci I.
dc.contributor.authorCoskun I.
dc.contributor.authorUranues S.
dc.date.accessioned2024-06-12T10:28:25Z
dc.date.available2024-06-12T10:28:25Z
dc.date.issued2000
dc.description.abstractLaparoscopic cholecystectomy (LC) using an electrosurgery energy source was successfully performed in 59 (95%) out of 62 selected patients. The procedures were performed by different surgical teams at Trakya University, Medical Fakulty, in the department of General Surgery and the Karl-Franzens-University School of Medicine, in the department of General Surgery. Cholangiography was routine at Karl Franzens University and selective at Trakya University. Laparoscopic intraoperative cholangiography (IOC) was performed in 48 (81.3%) patients, and open IOC was performed in 3 patients. Two patients had common duct stones; one of which was unsuspected preoperatively. These cases underwent endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic papillotomy (EP). One patient had a choledocal tumor, unsuspected preoperatively. Anatomical anomalies were not identified. Cholangiography could not be performed in one case in which there was no suspected pathology. ERCP was performed on one patient 30 days after being discharged because of acute cholangitis. In this case, residual stones were identified in the choledocus. Four patients underwent open cholecystectomy because of tumor, unidentified cystic duct or common bile duct pathology that could not be visualized on the cholangiogram. Our study suggests that cholangiography performed via the cystic duct before any structures are divided can prevent the most serious complication of laparoscopic cholecystectomy--common duct injury. We recommend that cholangiography be attempted on all patients undergoing LC.en_US
dc.identifier.endpage107en_US
dc.identifier.issn1086-8089
dc.identifier.issue2en_US
dc.identifier.pmid10917115en_US
dc.identifier.scopus2-s2.0-0034170193en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage103en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17245
dc.identifier.volume4en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeonsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdolescent; Adult; Aged; Article; Child; Cholangiography; Cholecystectomy; Comparative Study; Evaluation; Female; Gallbladder Disease; Gallstone; Human; Male; Methodology; Middle Aged; Patient Monitoring; Peroperative Complication; Prospective Study; Radiography; Adolescent; Adult; Aged; Child; Cholangiography; Cholecystectomy, Laparoscopic; Female; Gallbladder Diseases; Gallstones; Humans; Intraoperative Complications; Male; Middle Aged; Monitoring, Intraoperative; Prospective Studiesen_US
dc.titleThe importance of intraoperative cholangiography during laparoscopic cholecystectomy.en_US
dc.typeArticleen_US

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