Results of a change to routine fluorocholangiography during laparoscopic cholecystectomy

• Published in: Surgery 1995-10, Vol.118 (4), p.693-702
• Main Authors: Jones, Daniel B., Dunnegan, Deanna L., Soper, Nathaniel J.
• Format: Article
• Language: English
• Subjects: Cholangiography - methods; Cholecystectomy, Laparoscopic; Choledochostomy; Cholelithiasis - diagnostic imaging; Cholelithiasis - surgery; Evaluation Studies as Topic; Female; Fluoroscopy - methods; Gallstones - diagnostic imaging; Gallstones - surgery; Humans; Male; Middle Aged; Monitoring, Intraoperative; Prospective Studies; Retrospective Studies; Treatment Outcome
• ISSN: 0039-6060; 1532-7361
• DOI: 10.1016/S0039-6060(05)80037-6

Background. Early in our experience with laparoscopic cholecystectomy (LC), intraoperative cholangiography (IOC) was performed selectively with static imaging techniques. We subsequently changed to routine digital fluorocholangiography (FIOC) and evaluated the results of this strategy. Methods. In a consecutive series of 356 LCs, 11 patients (3%) were converted to open cholecystectomy. In the remaining 345 patients FIOC was attempted in 336 patients (97%) and was successfully completed in 328 patients (95%). Results of IOC and outcomes were compared prospectively in patients without indications for IOC (group 1, n=185) with those with criteria for selective IOC (group 2, n=160) and retrospectively with patients without indications for IOC undergoing static IOC (group 3, n=56). Results. Time to perform FIOC was less than for static IOC (14±1 versus 24±1 minutes, p