Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use?
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Cirúrgica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001000009 |
Resumo: | PURPOSE: To investigate clinical, laboratory and ultrasonographic parameters in patients with and without preoperative criteria for intraoperative cholangiography (IOC) during laparoscopic cholecystectomy in order to define predictive factors of choledocolithiasis. METHODS: As a criterion for inclusion in the study the patients should present chronic calculous cholecystitis in the presence or absence of any recent clinical, laboratory of ultrasonographic finding suggesting choledocolithiasis, who were therefore submitted to cholangiography during surgery. RESULTS: A total of 243 laparoscopic cholecystectomies with IOC were performed on patients with chronic calculous cholecystitis with or without a preoperative formal indication for contrast examination. Choledocolithiasis was detected in 33 (13.58%) of the 243 patients studied. The incidence of previously unsuspected choledocolithiasis was only one case (1.0%) among 100 patients without an indication for this exam. However, 32 (22.37%) cases of choledocolithiasis were observed among the 143 patients with a preoperative indication for IOC. CONCLUSION: The use of selective cholangiography is safe for the diagnosis of choledocolithiasis. Only 22.37% of the cholangiography results were positive in cases of suspected choledocolithiasis. |
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Acta Cirúrgica Brasileira (Online) |
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Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use?Cholecystectomy, LaparoscopicCholangiographyCholedocholithiasisPURPOSE: To investigate clinical, laboratory and ultrasonographic parameters in patients with and without preoperative criteria for intraoperative cholangiography (IOC) during laparoscopic cholecystectomy in order to define predictive factors of choledocolithiasis. METHODS: As a criterion for inclusion in the study the patients should present chronic calculous cholecystitis in the presence or absence of any recent clinical, laboratory of ultrasonographic finding suggesting choledocolithiasis, who were therefore submitted to cholangiography during surgery. RESULTS: A total of 243 laparoscopic cholecystectomies with IOC were performed on patients with chronic calculous cholecystitis with or without a preoperative formal indication for contrast examination. Choledocolithiasis was detected in 33 (13.58%) of the 243 patients studied. The incidence of previously unsuspected choledocolithiasis was only one case (1.0%) among 100 patients without an indication for this exam. However, 32 (22.37%) cases of choledocolithiasis were observed among the 143 patients with a preoperative indication for IOC. CONCLUSION: The use of selective cholangiography is safe for the diagnosis of choledocolithiasis. Only 22.37% of the cholangiography results were positive in cases of suspected choledocolithiasis.Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia2013-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001000009Acta Cirúrgica Brasileira v.28 n.10 2013reponame:Acta Cirúrgica Brasileira (Online)instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)instacron:SBDPC10.1590/S0102-86502013001000009info:eu-repo/semantics/openAccessSilva,Alex AugustoCamara,Carlos Augusto Canteras RaposoMartins Júnior,AiodairTeles,Celso Júnior OliveiraTerra Júnior,Júverson AlvesCrema,Eduardoeng2013-10-07T00:00:00Zoai:scielo:S0102-86502013001000009Revistahttps://www.bvs-vet.org.br/vetindex/periodicos/acta-cirurgica-brasileira/https://old.scielo.br/oai/scielo-oai.php||sgolden@terra.com.br0102-86501678-2674opendoar:2013-10-07T00:00Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)false |
dc.title.none.fl_str_mv |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
title |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
spellingShingle |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? Silva,Alex Augusto Cholecystectomy, Laparoscopic Cholangiography Choledocholithiasis |
title_short |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
title_full |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
title_fullStr |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
title_full_unstemmed |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
title_sort |
Intraoperative cholangiography during elective laparoscopic cholecystectomy: selective or routine use? |
author |
Silva,Alex Augusto |
author_facet |
Silva,Alex Augusto Camara,Carlos Augusto Canteras Raposo Martins Júnior,Aiodair Teles,Celso Júnior Oliveira Terra Júnior,Júverson Alves Crema,Eduardo |
author_role |
author |
author2 |
Camara,Carlos Augusto Canteras Raposo Martins Júnior,Aiodair Teles,Celso Júnior Oliveira Terra Júnior,Júverson Alves Crema,Eduardo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Alex Augusto Camara,Carlos Augusto Canteras Raposo Martins Júnior,Aiodair Teles,Celso Júnior Oliveira Terra Júnior,Júverson Alves Crema,Eduardo |
dc.subject.por.fl_str_mv |
Cholecystectomy, Laparoscopic Cholangiography Choledocholithiasis |
topic |
Cholecystectomy, Laparoscopic Cholangiography Choledocholithiasis |
description |
PURPOSE: To investigate clinical, laboratory and ultrasonographic parameters in patients with and without preoperative criteria for intraoperative cholangiography (IOC) during laparoscopic cholecystectomy in order to define predictive factors of choledocolithiasis. METHODS: As a criterion for inclusion in the study the patients should present chronic calculous cholecystitis in the presence or absence of any recent clinical, laboratory of ultrasonographic finding suggesting choledocolithiasis, who were therefore submitted to cholangiography during surgery. RESULTS: A total of 243 laparoscopic cholecystectomies with IOC were performed on patients with chronic calculous cholecystitis with or without a preoperative formal indication for contrast examination. Choledocolithiasis was detected in 33 (13.58%) of the 243 patients studied. The incidence of previously unsuspected choledocolithiasis was only one case (1.0%) among 100 patients without an indication for this exam. However, 32 (22.37%) cases of choledocolithiasis were observed among the 143 patients with a preoperative indication for IOC. CONCLUSION: The use of selective cholangiography is safe for the diagnosis of choledocolithiasis. Only 22.37% of the cholangiography results were positive in cases of suspected choledocolithiasis. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001000009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001000009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-86502013001000009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
dc.source.none.fl_str_mv |
Acta Cirúrgica Brasileira v.28 n.10 2013 reponame:Acta Cirúrgica Brasileira (Online) instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
instname_str |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
instacron_str |
SBDPC |
institution |
SBDPC |
reponame_str |
Acta Cirúrgica Brasileira (Online) |
collection |
Acta Cirúrgica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
repository.mail.fl_str_mv |
||sgolden@terra.com.br |
_version_ |
1752126442127228928 |