McFarlane, Michael E.; Thomas, Clive A. L.; McCartney, Trevor B.; Bhoorasingh, Patrick; Smith, Granville W.; Lodenquai, Patrick; Mitchell, Derek I. G.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Laparoscopic Cholecystectomy Without Routine Intra-Opeartive Cholangiography: A Review of 136 Cases in Jamaica [Abstract]
West Indian Medical Journal
Date of Publication
52 Suppl. 6
Objective: The objective of this prospective study was to evaluate the role of intra-operative cholangiograohy in patients undergoing laparoscopic cholecyctectomy, to determine whether it could be safely omitted for all patients who fit standard criteria, namely: normal liver function tests, no history of gallstone pancreatitis, common bile duct diameter less than 10 mm, or previous history of jaundice. Method: Data were collected prospectively from 136 consecutive patients who had laparoscopic cholecystectomy for symptomatic gallbladder disease. the procedure was performed by six surgeons in a non-teaching hospital. All patients who fit the above standard criteria were chosen for the laparoscopic procedure without intraoperative cholangiography. The procedure was performed using refurbished equipment and reusable instruments to to reduce patient costs. Data were analyzed for a 74-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.....