| Randomized clinical trial of routine on-table cholangiography during laparoscopic cholecystectomy. | |
| | |
MedLine Citation:
|
PMID: 21108309 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND:: A randomized clinical trial was undertaken to assess the utility of routine on-table cholangiography (OTC) during laparoscopic cholecystectomy for gallstone disease. METHODS:: Some 190 patients with a history of biliary colic or cholecystitis and a low predictive risk for choledocholithiasis were randomized to undergo elective laparoscopic cholecystectomy alone (99 patients) or elective laparoscopic cholecystectomy with OTC (91). Intraoperative findings and postoperative outcomes for the two groups were compared. The primary outcome measure was the incidence of common bile duct (CBD) stones. RESULTS:: Of the patients undergoing OTC, ten had abnormal cholangiograms; three had CBD stones and seven had abnormalities without stones. OTC was associated with a significantly longer mean(s.e.m.) operating time (66(2) versus 54(3) min; P < 0·001), but there was no association between performance of OTC and postoperative morbidity. During a 1-year follow-up, no patient in the OTC group re-presented to hospital with recurrent biliary symptoms. In contrast, four of the patients allocated to surgery alone re-presented with symptoms suggestive of CBD obstruction; all settled with conservative treatment and the difference in readmission rate was not significant (P = 0·122). CONCLUSION:: Routine cholangiography in patients with a low risk for CBD stones does not seem justified from the results of this trial. Registration number: NCT00806780 (http://www.clinicaltrials.gov). Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
| | |
Authors:
|
O A Khan; S Balaji; G Branagan; D H Bennett; N Davies |
Related Documents
:
|
22802899 - Surgical treatment of parietal defects with "da vinci" surgical robot. 22682379 - Fetal surgery for myelomeningocele. 22421279 - Diagnosis and radiological treatment of digestive haemorrhage following supramesocolic ... 700319 - Radiation exposure in patients undergoing endoscopic retrograde cholangiopancreatograph... 22575909 - Prevention and management of postprostatectomy sexual dysfunctions part 1: choosing the... 17640589 - Advanced endoscopy and endosurgical procedures: do we need a new subspecialty? 16917439 - Injured patients have lower mortality when treated by "full-time" trauma surgeons vs. s... 12440499 - Good clinical outcome of combined bankart-bristow procedure for recurrent shoulder inst... 23122579 - Preoperative planning of surgery for deeply infiltrating endometriosis using the enzian... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2010-11-24 |
Journal Detail:
|
Title: The British journal of surgery Volume: - ISSN: 1365-2168 ISO Abbreviation: Br J Surg Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-11-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Upper Gastrointestinal Surgery, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Spectral counting robust on high mass accuracy mass spectrometers.
Next Document: Systematic review and meta-analysis of the effects of statin therapy on abdominal aortic aneurysms.