Major biliary complications in 2,714 cases of laparoscopic cholecystectomy without intraoperative cholangiography: a multicenter retrospective study

The ongoing debate between routine and selective users of intraoperative cholangiography during laparoscopic cholecystectomy has not yet come to an end

Mostafa A. Hamad

2011

Scholarcy highlights

  • The ongoing debate between routine and selective users of intraoperative cholangiography during laparoscopic cholecystectomy has not yet come to an end
  • We performed a retrospective analysis of LC cases operated by experienced laparoscopic surgeons, without resorting to IOC, in four surgical units of university hospitals in Egypt during a 6-year period through
  • Five cases had major bile duct injuries requiring surgical repair
  • Postoperative bile leakage was encountered in seven cases
  • Missed common bile duct stones were reported in six cases
  • LC can be performed safely without the use of IOC, with acceptable low rates of biliary complications provided that proper detection of patients with silent CBD stones is done and facilities for pre- and postoperative endoscopic retrograde cholangiopancreatography are available
  • laparoscopic cholecystectomy can be performed safely without the use of intraoperative cholangiography, with acceptable low rates of biliary complications provided that proper detection of patients with silent common bile duct stones is done and facilities for pre- and postoperative endoscopic retrograde cholangiopancreatography are available

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