Resumen

CASTRO PEREZ, Raúl et al. Colangiografía transoperatoria en colecistectomía laparoscópica: ¿sistemática o selectiva?. Rev Cubana cir [online]. 2000, vol.39, n.1, pp. 61-67. ISSN 1561-2945.

A comparative study of 451 patients operated on of laparoscopic cholecystectomy by using transoperative selective cholangiography in 151 individuals and systematical cholangiography in 456 was conducted. The same inclusion criteria were used in both groups. The average surgical time was inclusion criteria were used in both groups. The average surgical time was lower than an hour in these 2 groups. It was proved that feasibility indexes over 90 %, similar to those of open surgery, are attained with training. The systematical cholangiography allowed to find a higher percent of unsuspected lithiasis in the main biliary tract, to diagnose nonlithiasic affections of the choledochus, to identify potentially dangerous anomalies and to detect iatrogenies on the main biliary tract during the transoperative. It was concluded that in the laparoscopic cholecystectomy the transoperative cholangiography should be systematically made

Palabras clave : CHOLANGIOGRAPHY [methods]; CHOLECYSTECTOMY, LAPAROSCOPIC [methods].

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