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122852

Assessment of Laparoscopic Intraoperative Cholangiogram in Controlling Postoperative Outcomes and Its Implication on the Quality of Life

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Last updated: 22 Jan 2023

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Abstract

Background: Intraoperative cholangiography (IOC) is one of the surgical advances that aim to reduce the risk of bile duct injuries. Aim: To assess the role of IOC in controlling the postoperative outcomes and its implication on patient quality of life. Patients and Methods: This prospective randomized study conducted at the Department of Surgery, Faculty of Medicine, Suez Canal University from May 2017 to February 2019 on 56 patients with symptomatic gall stones who met our inclusion criteria. The exclusion criteria were having former upper abdominal surgery, chronic liver disease, impaired kidney function, bleeding tendency, and Common bile duct (CBD) stones indicated for preoperative ERCP. Our protocol was approved by the institutional review board at Suez Canal University. Results: Our sample comprised of 56 patients. The mean age was 42 ± 10 years, and most patients were females (68%). Most patients had no interventions like CBD explorations (82%). The success rate was 96%. Two patients had failed CBD exploration and referred to postoperative Endoscopic Retrograde Cholangiopancreatography (ERCP). Of notice, there were no reported cases of bile duct injury, and the mortality rate was 0%. Conclusion: IOC during laparoscopic cholecystectomy (LC) is associated with a low morbidity rate and no mortalities. This confirms the effectiveness of IOC in reducing the postoperative complications of LC which improve patent's quality of life.
 

DOI

10.21608/scumj.2020.122852

Keywords

Intraoperative cholangiography, Laparoscopic cholecystectomy, quality of life

Authors

First Name

Mohamed

Last Name

Elkerkary

MiddleName

A

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

m_kerkary@hotmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Hassan

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

dr_ahmedhassan82@yahoo.com

City

-

Orcid

-

First Name

Hamdy

Last Name

Shaban

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

hamdy_shaban@med.suez.edu.eg

City

-

Orcid

-

Volume

23

Article Issue

1

Related Issue

17184

Issue Date

2020-03-01

Receive Date

2020-11-12

Publish Date

2020-03-01

Page Start

97

Page End

105

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 23_Issue 1_Pages 97-105.pdf

PDF . 327.6kB

Link

https://scumj.journals.ekb.eg/article_122852.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=122852

Order

11

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023