[The indications for selective intraoperative cholangiography during laparoscopic cholecystectomy]

The analysis covers 136 cases of laparoscopic cholecystectomy. Intraoperative cholangiography is performed in seven patients. Choledocholithiasis, missed during the operation, is diagnosed in one case only two months later. Preoperative ERCP is done in three patients, and postoperatively--in two. The follow-up study of the rest of patients, not subjected to intraoperative or endoscopic cholangiography, shows that up to one year after the operation there is not a single case of missed choledocholithiasis. The indications for intraoperative cholangiography are established on the ground of criteria worked out in the clinic. The obtained data confirm the hypothesis for selective application of the examination without augmenting the risk of missing pathological changes in the biliary ducts.