Intraoperative cholangiography during Laparoscopic cholecystectomy in the GrandMed Hospital
- VernacularTitle: Хэвлийн хөндийн дурангаар цөсний хүүдий авах хагалгааны үед холангиографи хийсэн
- Author:
Bulgan CH
1
;
Batkhuu A
;
Enkhbayar D
;
Altankhuyag B
;
Saruul E
;
Mishigdorj L
Author Information
1. 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 bilecould cause hepatitis or other difficulties.Therefore intraoperative cholangiography ishelpful in many operations besides detectingand diagnosing the gallstones in commonbile duct.Materials and Methods: Out of 266patients who had undergone LaparoscopicCholecystectomy surgery in GrandMedHospital, 14 patients were found to havejaundice and cholestasis after undergoinglaboratory and radiology tests.Results: These 14 patients have allundergone IOC. 7 out of 14 patients werefound to have positive cholangiogram andthe other 7 - negative. Biliary tract tumorand anatomic anomalies were not identifiedamong these patients.Conclusion: Making analysis usingonly laboratory data is not adequate fordirectly detecting choledocholithiasis. IOCnot only shows bile tract obstruction anddetermines cholestasis causes, but it alsoidentifies the anatomy biliary tract, whichis a procedure that facilitates dissection.Therefore IOCcan prevent the most seriouscomplication of laparoscopic cholecystectomy- common bile duct injury. The sensitivityof IOC ensures the gathering of importantinformation on time, so suggest to use it forevery suspicious case.
