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Updated: Aug 3, 2026
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
Is preoperative evaluation of the biliary tree necessary in uncomplicated gallstone disease? Results of a randomized
1Centre for Gastrointestinal Disease, Ersta Hospital, Stockholm, Sweden. johannes.jarhult@lj.se
Aim:
To analyse if preoperative radiology is of value in patients with uncomplicated gallstone disease.
Material:
312 patients intended for laparoscopic cholecystectomy were randomly allocated to undergo preoperative radiology (intravenous cholangiography or magnetic resonance cholangiography) or to a control group. Intraoperative cholangiography was not used routinely in either group.
Results:
There was no bile duct injury and no difference in complication frequency between the two groups. The incidence of common bile duct stones was 3.8% within the first postoperative year with no statistical difference between the two groups.
Conclusions:
Routine preoperative evaluation of the bile tree seems unnecessary before laparoscopic cholecystectomy in patients with uncomplicated gallstone disease.
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