Cholecystolithiasis, Choledocholithiasis
Conditions
Keywords
c arm cholangiography, cholecystectomy
Brief summary
The purpose of the present study was to evaluate the success of routine use of intraoperative cholangiography (IOC ) and to examine the factors that are hindering the performance of intraoperative c-arm cholangiography.
Detailed description
From January 2018 to August 2018 all consecutive elective and emergency cholecystectomies performed were entered in a prospective database. IOC has been instructed to be performed routinely when feasible during cholecystectomy since 1998. All elective operations were performed either by residents or specialist surgeons. For this study the investigators collected the radiation exposure values from exposure and pulsed fluoroscopy. Fluoroscopy time (s) was recorded.The operating surgeon was asked to fulfill a questionnaire directly after the cholecystectomy. The technical success and reasons for possible deferral of IOC were documented.Patient data from unsuccessful or deferred cholangiography cases was checked 6 months after cholecystectomy for possible symptomatic residual choledocholithiasis.Laparoscopic cholecystectomies were performed both by residents and specialist surgeons. Ethics: The study was approved by the hospital administration.
Interventions
success or failure of cholangiography
Sponsors
Study design
Eligibility
Inclusion criteria
* all consecutive cholecystectomy patients during January 2018 to August 2018
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of intraoperative cholangiography | 6 months | number of successful cannulation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| technical success of intraoperative cholangiography | 6 months | grades of technical success ( easy, , minimal difficulties, major difficulties) |
Countries
Finland