1,000 cholecystectomies, extraductal palpation, and operative cholangiography

Mullen, Joseph T.; Carr, Raymond E.; Rupnik, Edward J.; Knapp, Robert W.

doi:10.1016/0002-9610(76)90175-6

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1980

1996

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Cited by 19 publications

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Cholecystectomy and Abdominal Hysterectomy

Murray¹

1980

JAMA

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Cholelithiasis is a common disease in women and can lead to serious complications. At Wilford Hall USAF Medical Center, we have performed 21 cholecystectomies at the time of abdominal hysterectomy. All patients had been asymptomatic with regard to gallbladder disease, but showed either preoperative or intraoperative evidence of gallbladder disease. The mean surgical time was 3.3 hours, mean blood loss was 474 mL, and only one patient had febrile morbidity (> 38.3 degrees C). Because of the low morbidity, we recommend that this combined surgical approach be considered by both the gynecologist and general surgeon.

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Cholecystectomy and Abdominal Hysterectomy

Murray¹

1980

JAMA

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Exploration of the common bile duct—the relevance of the clinical picture and the importance of peroperative cholangiography

Cranley

Logan

1980

Journal of British Surgery

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A series of 500 cholecystectomies performed over a 7-year period was reviewed retrospectively. The reliability of preoperative clinical features such as jaundice and pancreatitis was assessed in determining the presence of choledocholithiasis, and was found to be of limited value. Investigations such as intravenous cholangiography and liver function tests were found also to be inaccurate in the detection of common duct stones as was the appearance of the duct at operation. The usefulness of the peroperative cholangiogram in the detection of common duct stones that would otherwise have been overlooked is emphasized. Common duct stones would have remained undetected in 25 per cent of patients with choledocholithiasis. Despite the use of routine peroperative cholangiography common duct stones were overlooked in 11.25 per cent of patients who underwent exploration.

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Operative cholangiography or extraductal palpation: An analysis of 418 cholecystectomies

Cassie

Kapadia

1981

Journal of British Surgery

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1,000 cholecystectomies, extraductal palpation, and operative cholangiography

Cited by 19 publications

References 6 publications

Cholecystectomy and Abdominal Hysterectomy

Cholecystectomy and Abdominal Hysterectomy

Exploration of the common bile duct—the relevance of the clinical picture and the importance of peroperative cholangiography

Operative cholangiography or extraductal palpation: An analysis of 418 cholecystectomies

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