Abstract
The incidence of choledocholithiasis (CDL) has been shown to be around 10% when intra-operative cholangiography (IOC) is practised routinely during cholecystectomy [1–3]. The advent of laparoscopic cholecystectomy has enlivened the debate between those who defend systematic intra-operative opacification of the common bile duct (CBD) [4–6] and those who advocate a selective approach [7, 8] based on certain predictive factors [9, 10]. IOC remains an invaluable tool for the detection of asymptomatic stones, as well as the prevention and/or detection of possible CBD injuries [11–13]. Regarding the latter, authors such as Wright [14] have suggested that IOC is not a prerequisite for the safe performance of laparoscopic cholecystectomy and cannot be relied upon to prevent all biliary injuries.
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Catheline, JM., Roussel, J. (2008). Laparoscopic Ultrasound during Laparoscopic Cholecystectomy. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_11
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DOI: https://doi.org/10.1007/978-88-470-0763-5_11
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