Abstract

YASOJIMA, Edson Yuzur  and  LOPES FILHO, Gaspar de Jesus. Systematic cholangiography during laparoscopic cholecystectomy. Rev. Col. Bras. Cir. [online]. 2002, vol.29, n.2, pp. 92-98. ISSN 0100-6991.  http://dx.doi.org/10.1590/S0100-69912002000200007.

BACKGROUND: We present our results from peroperative cholangiography (POC) systematically performed during video laparoscopic cholecystectomies (VLC). METHOD: From January 1998 to December 1999, VLP was performed in 250 non-selected patients from both sexes, being 65 males (26%) and 185 females (74%), independent of the presence or not of clinical signals, laboratorial and ultrasonographics results or of other diagnostic method, indicatives of choledocholithiasis or other biliary ducts pathologies. RESULTS: POC could be performed in 94,6% of the cases. It was found 31 modifications (13%), being the most important six cases of choledocholithiasis (2,5%) and 25 cases of anatomical anomalies (10,5%). CONCLUSIONS: POC during VLC showed to be a safe procedure, with no complications, defining anatomy, forewarning biliary injuries and allowing assymptomatic choledocholithiasis detection.

Keywords : Cholangiography; Cholecystectomy; Vesicular lithiasis; Video laparoscopy.