A Five Years Review Intra-Operative Cholangiogram

  • J N Shah
  • C Shah

Abstract

Background: Intra-operative cholangiogram is often performed to detect concurrent common bile duct stones in cholecystectomy patients. Routine cholangiogram add to cost and exposes patients to unnecessary exploration of common bile duct due to frequent false positive results. Thus, there is need of better indicators for cholangiogram in order to minimize unnecessary procedure and its morbidity.
Methods: A retrospective analysis of patients undergoing intra-operative cholangiogram during open or laparoscopic cholecystectomy was done at Patan Hospital from Oct 1, 2005 to Sep 31, 2009. Indications and outcome of cholangiogram were analyzed together with findings of common bile duct exploration.
Results: A total of 68 (2.8%, 68/2400) intra-operative cholangiogram were done in 2400 cholecystectomy patients
during five years period. Eight (11.8%, 8/68) patients had abnormal findings. Two (3%, 2/68) patients with abnormal cholangiogram had stones in common bile duct. There was no mortality in this series.
Conclusions: Existing indications of intra-operative cholangiogram detects only small percentage of patients with bile duct stones and has high false positive results. This unnecessarily increases bile duct exploration, cost and morbidity. Thus, there is need to redefine indications for intra-operative cholangiogram.
Keywords: biliary pancreatitis, cholecystectomy, common bile duct, intra-operative cholangiogram.

Author Biographies

J N Shah
Department of Surgery, Patan Hospital, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal
C Shah
Department of Surgery, Patan Hospital, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal.
Published
2011-11-24
How to Cite
SHAH, J N; SHAH, C. A Five Years Review Intra-Operative Cholangiogram. Journal of Nepal Health Research Council, [S.l.], nov. 2011. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/255>. Date accessed: 19 oct. 2019. doi: https://doi.org/10.33314/jnhrc.v0i0.255.
Section
Original Article