This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Selective intraoperative cholangiography and risk of bile duct injury during cholecystectomy. BJS 2015; 102: 952-958.
Published: 28th April 2015
Authors: B. Törnqvist, C. Strömberg, O. Akre, L. Enochsson, M. Nilsson
Background
Whether intraoperative cholangiography can prevent iatrogenic bile duct injury during cholecystectomy remains controversial.
Method
Data from the national Swedish Registry for Gallstone Surgery,
Results
A total of 51 041 cholecystectomies and 747 bile duct injuries (1·5 per cent) were identified; 9008 patients (17·6 per cent) were diagnosed with acute cholecystitis. No preventive effect of intraoperative cholangiography was seen in uncomplicated gallstone disease (odds ratio (
Conclusion
Any proposed protective effect of intraoperative cholangiography was restricted to patients with (or a history of) acute cholecystitis.
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