Intraoperative cholangiography during Laparoscopic cholecystectomy in the GrandMed Hospital
- VernacularTitle:Хэвлийн хөндийн дурангаар цөсний хүүдий авах хагалгааны үед холангиографи хийсэн
- Author:
Bulgan Ch
;
Batkhuu A
;
Enkhbayar D
;
Altankhuyag B
;
Saruul E
;
Mishigdorj L
- Collective Name:GrandMed Hospital
- Publication Type:Journal Article
- Keywords:
Laparoscopic cholecystectomy;
Intraoperative cholangiography
- From:Journal of Surgery
2016;19(1):19-22
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction: In gallstone diseases,
common bile duct stones and thickened bile
could cause hepatitis or other difficulties.
Therefore intraoperative cholangiography is
helpful in many operations besides detecting
and diagnosing the gallstones in common
bile duct.
Materials and Methods: Out of 266
patients who had undergone Laparoscopic
Cholecystectomy surgery in GrandMed
Hospital, 14 patients were found to have
jaundice and cholestasis after undergoing
laboratory and radiology tests.
Results: These 14 patients have all
undergone IOC. 7 out of 14 patients were
found to have positive cholangiogram and
the other 7 - negative. Biliary tract tumor
and anatomic anomalies were not identified
among these patients.
Conclusion: Making analysis using
only laboratory data is not adequate for
directly detecting choledocholithiasis. IOC
not only shows bile tract obstruction and
determines cholestasis causes, but it also
identifies the anatomy biliary tract, which
is a procedure that facilitates dissection.
Therefore IOCcan prevent the most serious
complication of laparoscopic cholecystectomy
- common bile duct injury. The sensitivity
of IOC ensures the gathering of important
information on time, so suggest to use it for
every suspicious case.
- Full text:W020170328520152577968.pdf
