Intraoperative Cholangiogram (IOC)

2021 ◽  
Author(s):  
Kira Melamud
JAMA Surgery ◽  
2015 ◽  
Vol 150 (10) ◽  
pp. 1009
Author(s):  
Antonio Navarro-Sánchez ◽  
Hutan Ashrafian ◽  
Alberto Martínez-Isla

2015 ◽  
Vol 180 (5) ◽  
pp. 565-569 ◽  
Author(s):  
Robert R. Shawhan ◽  
C. Rees Porta ◽  
Jason R. Bingham ◽  
Derek P. McVay ◽  
Daniel W. Nelson ◽  
...  

2016 ◽  
Vol 82 (10) ◽  
pp. 985-988
Author(s):  
John V. Gahagan ◽  
Steven Maximus ◽  
Matthew D. Whealon ◽  
Michael J. Phelan ◽  
Aram Demirjian ◽  
...  

The necessity of routine endoscopic retrograde cholangiopancreatography (ERCP) after positive intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy is not well defined. We aimed to examine the incidence of positive IOC among patients who undergo IOC during cholecystectomy and the rate of subsequent ERCP stone extraction. The Nationwide Inpatient Sample database was reviewed for all patients undergoing cholecystectomy with IOC from 2002 to 2012. Patients were then analyzed for ERCP and stone extraction. A total of 73,508 patients who underwent cholecystectomy with IOC for a diagnosis of acute cholecystitis and found to have a bile duct stone were identified. Of these patients, 5915 underwent subsequent ERCP. In the patients that underwent subsequent ERCP, 1478 had a documented stone extraction during ERCP. The rate of stone extraction in the ERCP subset is 25 per cent, which is 2 per cent of all patients who had a positive IOC. The rate of stone extraction after positive IOC is low. Positive IOC may not warrant a routine postoperative ERCP. Our results suggest that clinical monitoring of patients with positive IOC is reasonable, as the majority of patients with a positive IOC ultimately have no stone extraction.


2011 ◽  
Vol 58 (110-111) ◽  
Author(s):  
Hui Jiang ◽  
Hong Wu ◽  
Prasoon Pankaj ◽  
Jianguo Qiu ◽  
Yong Zeng

2012 ◽  
Vol 142 (5) ◽  
pp. S-1028
Author(s):  
Elizaveta Ragulin-Coyne ◽  
Elan R. Witkowski ◽  
Zeling Chau ◽  
Sing Chau Ng ◽  
Heena P. Santry ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document