Prospective study of scoring system in selective intraoperative cholangiography during laparoscopic cholecystectomy

doi:10.3748/wjg.v9.i4.865

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Apr 15, 2003 (publication date) through Nov 9, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Clinical Research

World J Gastroenterol. Apr 15, 2003; 9(4): 865-867
Published online Apr 15, 2003. doi: 10.3748/wjg.v9.i4.865

Prospective study of scoring system in selective intraoperative cholangiography during laparoscopic cholecystectomy

Xiao-Dong Sun, Xiao-Yan Cai, Jun-Da Li, Xiu-Jun Cai, Yi-Ping Mu, Jin-Min Wu

Xiao-Dong Sun, Xiao-Yan Cai, Jun-Da Li, Xiu-Jun Cai, Yi-Ping Mu, Jin-Min Wu, Department of General Surgery, The Affiliated Sir Run Run Shaw Hospital, Zhejiang University Medical College, Hangzhou 310016, Zhejiang Province, China

Author contributions: All authors contributed equally to the work.

Correspondence to: Dr Xiao-Dong Sun, Department of General Surgery, The Affiliated Sir Run Run Shaw Hospital, Zhejiang University Medical College, Hangzhou 310016, Zhejiang Province, China. s.xiaodong@sohu.com

Telephone: +86-571-86090073 Fax: +86-571-86044817

Received: July 26, 2002
Revised: August 16, 2002
Accepted: August 23, 2002
Published online: April 15, 2003

Abstract

AIM: To evaluate of scoring system in predicting choledocholithiasis in selective intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC).

METHODS: The scoring system of predicting choledocholithiasis was developed during the retrospective study in 264 cases, and was tested in 184 to evaluate its predictive value in choledocholithiasis.

RESULTS: The scoring system was developed in a retrospective study of 264 cases, the statistical analyses showed the predictive factors included sex, transaminase levels, alkaline phosphatase level, bilirubin level, and common bile duct diameter on ultrasonography. The scoring system was used in 184 cases prospectively, of which, 3 of 162 (1.9%) cases scoring < 3 had choledocholithiasis, 17 of 22 (77.3%) cases scores≥3 had choledocholithiasis. A case of scores≥3 or more prospectively should be considered highly intraoperative cholangiography during laparoscopic cholecystectomy.

CONCLUSION: The scoring system can predict choledocholithiasis and is helpful in selection patietns for intraoperative cholangiography.

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