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5. [Obligatory intraoperative cholangiography in laparoscopic cholecystectomy].

Author

Lotz GW, Stahlschmidt M, and Moergel K

Subjects
Cholecystitis diagnostic imaging, Cholelithiasis diagnostic imaging, Common Bile Duct diagnostic imaging, Common Bile Duct injuries, Common Bile Duct surgery, Cystic Duct diagnostic imaging, Cystic Duct injuries, Cystic Duct surgery, Female, Gallbladder Neoplasms diagnostic imaging, Gallstones diagnostic imaging, Gallstones surgery, Humans, Iatrogenic Disease, Intraoperative Complications diagnostic imaging, Male, Middle Aged, Postoperative Complications diagnostic imaging, Postoperative Complications surgery, Reoperation, Cholangiography instrumentation, Cholecystectomy, Laparoscopic instrumentation, Cholecystitis surgery, Cholelithiasis surgery, Gallbladder Neoplasms surgery, Intraoperative Complications surgery, Monitoring, Intraoperative instrumentation
Abstract

Despite growing experience with laparoscopic cholecystectomy in up to now 1100 operations lesions of the bile ducts sometimes occur. We therefore decided to perform intraoperative cholangiography obligatorily and increased our rate of intraoperative X-ray control from 30% in the first 500 operations to 98.2% in the last 500 operations. The mean operation time in the radiography group was 44.8 min. After introduction of intraoperative cholangiography no bile duct lesions were encountered, but in 4.6% of all patients with this examination previously unknown choledocholithiasis was diagnosed.

Published
1993

6. [Results of conventional and laparoscopic cholecystectomy].

Author

Stahlschmidt M, Lotz GW, Moergel K, and Maurer T

Subjects
Adult, Aged, Cholecystitis mortality, Cholecystitis surgery, Cholelithiasis mortality, Cholelithiasis surgery, Female, Follow-Up Studies, Gallbladder Diseases mortality, Gallbladder Neoplasms mortality, Gallbladder Neoplasms surgery, Humans, Male, Middle Aged, Postoperative Complications mortality, Postoperative Complications surgery, Survival Rate, Cholecystectomy, Cholecystectomy, Laparoscopic, Gallbladder Diseases surgery, Postoperative Complications etiology
Abstract

We report about a retrospective study of 861 conventional and 812 laparoscopic cholecystectomies (including one coelioscopic choledocholithotomy). In the conventionally operated group reoperation was required in 2.7% (1.4% relaparotomy, 1.3% secondary suture), mortality was 0.5%. After laparoscopic treatment the reoperation rate was 2% (10 relaparoscopies, 5 laparotomies, 2 secondary sutures), no mortality. Growing experience and better definition of contraindications for endoscopic cholecystectomy might improve our results in the future.

Published
1992

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