Abstract
Operative cholangiography (OC), although available, was withheld in 330 (68.2%) of a series of 484 consecutive cholecystectomies performed for gallstones. A follow-up study, conducted between 1 and 2 years after the operation, revealed 1 patient with a retained stone in the group not submitted to operative cholangiography. Although there is a strong case in favor of performing OC routinely, this has yet to be shown to be safer than selective use.
Résumé
La cholangiographie opératoire, bien qu'elle ait été possible, n'a pas été pratiquée chez 330 (68.2%) opérés d'un groupe de 484 malades soumis à une cholécystectomie pour lithiase vésiculaire. L'étude post-opératoire, portant de 1 à 2 ans, a montré qu'un seul des malades qui n'avaient pas été explorés par cholangiographie présentait un calcul restant. Bien qu'il y ait des arguments en faveur, de la cholangiographie opératoire de routine, cette tactique ne paraÎt pas supérieure à la cholangiographie opératoire sélective.
Resumen
La colangiografía operatoria, aunque disponible, no fue utilizada en 330 (68.2%) de una serie de 484 colecistectomías consecutivas realizadas ppr colelitiasis. En un estudio de seguimiento, conducido entre 1 y 2 años después de la operación, reveló un paciente con cálculo residual en el grupo en que no se utilizó la colangiografía operatoria. A pesar de que la argumentación a favor de la realización rutinaria de colangiografía operatoria es abundante, esta conducta no ha probado ser mejor que la de su utilización selectiva.
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Grogono, J.L., Woods, W.G.A. Selective use of operative cholangiography. World J. Surg. 10, 1009–1012 (1986). https://doi.org/10.1007/BF01658660
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DOI: https://doi.org/10.1007/BF01658660