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References in periodicals archive ?
The patient was admitted to the hospital and he was taken to the operating room where he underwent a laparoscopic cholecystectomy using the standard 4 port technique with intraoperative cholangiogram (Fig 1).
Fig 2-3) The intraoperative cholangiogram helped to identify each cystic duct and the operation was otherwise uneventful.
Of 46 patients with an abnormal intraoperative cholangiogram, 12 had a normal one 48 hours later, as did another 12 patients at 6 weeks.
Thus, most of the abnormal intraoperative cholangiograms either were false-positives or identified stones that soon passed spontaneously.
In reality most biliary surgeons do not perform a routine intraoperative cholangiogram but use it selectively.
When the suspicion for CBDS is low and the gallbladder is present, it is suggested that patients undergo laparoscopic cholecystectomy with an intraoperative cholangiogram.
Attempting to perform a dynamic fluoroscopic intraoperative cholangiogram added a median of 3 minutes or a mean of 4 minutes to laparoscopic cholecystectomy in a series of 52 consecutive patients undergoing urgent or elective procedures, he said at an international congress of the Society of Laparoendoscopic Surgeons.
We conclude that intraoperative cholangiogram should be a routine addition to laparoscopic cholecystectomy," he said.
Flum and his associates at the University of Washington, Seattle, found that intraoperative cholangiograms (IOCs) had been performed in 613,706 (39%) of 1,570,361 patients nationwide who had a cholecystectomy in 1992-1999.
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