McFarlane, Michael E.; Thomas, Clive A. L.; McCartney, T.; Bhoorasingh, P.; Smith, G.; Lodenquai, P.; Mitchell, Derek I. G.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Selective Operative Cholangiography in the Performance of Laparoscopic Cholecystectomy [Abstract]
West Indian Medical Journal
Date of Publication
54 Suppl. 2
Objective: The objective of this prospective study was to evaluate the role of intra-operative cholangiography (IOC) for patients undergoing laparoscopic cholecystectomy (LC) to determine whether it could be safely omitted for all patients who fit standard criteria: normal liver function tests, no histpry of gall stone pancreatitis, common bile duct (CBD) diameter less than 10 mm, or previous history of jaundice. Method: We collected data prospectively from 194 consecutive patients who had LC for symptomatic gallbladder disease performed by six surgeons in a non-teaching hospital using a dedicated database. All patients who fit the above standard criteria were chosen for the laparoscopic procedure without IOC. The procedure was performed using refurbished equipment and reusable instruments to reduce patient costs. Data were analyzed for a 76- month period from March 1997 to July 2003 and included the following: patient demographics, laboratory and ultrasound findings, operative statistics, postoperative stay and complications. Postoperative follow-up included two visits at one week and 12 weeks.....