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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
QUIROGA-MERINO, Luis Ernesto; ESTRADA-BRIZUELA, Yarima; MENDEZ-LEON, Raudel and HERNANDEZ-AGUERO, Manuel. Value of the intraoperatory cholangiography videolaparoscopic in patient with choledocholithiasis suspicion. AMC [online]. 2020, vol.24, n.1, e6635. Epub Mar 20, 2020. ISSN 1025-0255.
Background:
videolaparoscopic cholangiography has become a diagnostic and therapeutic method in choledocholithiasis.
Objective:
to evaluate the value of transcystic cholangiography in patients with suspected choledocholithiasis.
Methods:
an analytical study was carried out to interpret and verify the result with the objective of analyzing the correspondence between suspected choledocolithiasis and the result of translastic videolaparoscopic cholangiography, at the Octavio Teaching Surgical Clinical Military Hospital of La Concepción de la Pedraja, since April, 2012 to December, 2018. The sample consisted of 62 patients with suspected choledocolithiasis.
Results:
in the study, moderate suspicion of choledocholithiasis prevailed in the female sex at the expense of ultrasound and laboratory studies, specifically the increase in the value of alkaline phosphatase and dilation of the common bile duct between 8 and 10 millimeters. The most frequent results of the procedure were; the main bile duct without alterations and vesicular adhesions. The procedure extended for more than 60 minutes in more than half of the cases. The hospital stay after the procedure was less than three days and an excellent result prevailed.
Conclusions:
women have a higher index of suspicion of choledocholithiasis and in a moderate range. Laboratory and ultrasound criteria prevail in these patients, however, they are not specific to choledocholithiasis. The main bile duct without alterations and vesicular adhesions are the most frequent results during the procedure. The average surgical time in this procedure is more than 60 minutes. The hospital stay after proceeding is usually less than three days. The final result with this procedure is excellent.
Keywords : CHOLEDOCHOLITHIASIS/diagnostic imaging; CHOLANGIOGRAPHY; MINIMALLY INVASIVE SURGICAL PROCEDURES; VIDEO-ASSISTED SURGERY; ANALYTICAL EPIDEMIOLOGY.