Biomaterial Database

Choledochoscopy versus postexploratory cholangiography in prevention of retained common duct stones. 1984

M T Turunen, and H J Järvinen, and J Hästbacka

A prospective comparison of flexible choledochoscopy with postexploratory T-tube cholangiography for detecting retained common duct stones was performed in a series of 197 consecutive patients undergoing cholecystectomy and choledocholithotomy. After common duct exploration and apparent removal of stones more missed stones were detected and successfully removed in the choledochoscopy group (n = 15) than in the cholangiography group (n = 7). Retained stones occurred in one of 75 patients (1.3%) after choledochoscopy, in 7 of 79 (8.9%) undergoing T-tube cholangiography only and in 5 of 43 (11.6%) with no postexploratory control. The difference was significantly (p less than 0.05) in favour of choledochoscopy. The operation time was not significantly prolonged and there was no increase in postoperative complications due to choledochoscopy. Choledochoscopy is considered to be the best means of reducing the rate of retained common duct stones and it is recommended after every choledocholithotomy.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446	Prospective Studies	Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.	Prospective Study,Studies, Prospective,Study, Prospective
D012086	Reoperation	A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.	Revision, Joint,Revision, Surgical,Surgery, Repeat,Surgical Revision,Repeat Surgery,Revision Surgery,Joint Revision,Revision Surgeries,Surgery, Revision
D002758	Cholangiography	An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken.	Cholangiographies
D002763	Cholecystectomy	Surgical removal of the GALLBLADDER.	Cholecystectomies
D004724	Endoscopy	Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.	Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man