The Role of Intraoperative Cholangiography in the Diagnosis of Incidental Choledocholithiasis and Iatrogenic Injuries to the Common Bile Duct

Mazouz AR, Bouregba N, Batoul A and Lamara A

Published on: 2024-05-13

Abstract

The aim of this study is to evaluate the role of intraoperative cholangiography (IOC) in the detection of asymptomatic lithiasis and injuries of common bile duct. From 2006 to 2014, 300 patients with cholelithiasis and without predicting factors to suggest common bile duct (CBD) stones were operated on laparoscopically cholecystectomy. The IOC was usually attempted. There were 216 (72%) females and 84 (28%) males, the mean age was 41 years (25-85years). Peroperative evaluation included liver function testes and ultrasound. The success rate of IOC was 98,3%. The mean duration was 11,55 minutes (5-20minutes). There is no incident referring to IOC and there were no bile duct injuries. Aberrant anatomy of cystic duct was identified in 3 patients. The patients had laparoscopic treatment of CBD stones. The residual CBD stones were observed in one patient treated by endoscopic sphincterotomy. There is no post operative death and the morbidity was observed in 5% of patients. The intraoperative cholangiography does not offer protection from introgenic bile duct injuries but decrease their prevalence and it is the best method for detecting CBD stones.