Revista Cubana de Cirugía
versão On-line ISSN 1561-2945
CASTRO PEREZ, Raúl et al. Resultados de 1 000 colangiografías transoperatorias laparoscópicas realizadas de forma sistemática. Rev Cubana Cir [online]. 2001, vol.40, n.1, pp. 12-17. ISSN 1561-2945.
A study of 1 097 patients with vesicular lithiasis that systematically underwent transoperative cholangiography by transcistic route from June, 1996, to June, 1998, was conducted. Patients with indication of selective cholangiography were excluded from this study, according to the criteria of those who advocate this procedure. It was possible to perform it in 1000 patients (91.15%). The main cause of non-feasibility corresponded to the extremely fine cystic ducts (5.65%). Cholangiography was performed by using the percutaneous catheter in 173 patients and with Olsen's clamp in 827 individuals. The average time for carrying out this procedure was of 8.5 min. Non-suspected surgical affections were detected in 55 patients (5.5%) by cholangiography. 41 of them had choledocus calculi. 72 potentially dangerous congenital anomalies (7.2%) were diagnosed. It was concluded that in laparoscopic cholecystectomy the transoperative cholangiography should be carried out in a liberal way
Palavras-chave : CHOLANGIOGRAPHY [methods]; CHOLECYSTECTOMY, LAPAROSCOPIC; CHOLELITHIASIS [surgery]; CHOLELITHIASIS [diagnosis].