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

Abstract

The scoring system can predict choledocholithiasis and is helpful in selection patients for intraoperative cholangiography.

Validation of the Lacaine-Huguier predictive score for choledocholithiasis: Prospective study of 380 patients

“…Millat et al compared the LH score data to the findings of intraoperative cholangiography [9]. Several other predictive scores of CBDS have been proposed based on factors of patient history, clinical examination, laboratory findings, and imaging [27][28][29][30]. Compared to the LH score, they all depend on laboratory findings (Table 4), which makes score calculation more complex and less easy to use.…”

“…Other studies have attempted to identify specific criteria to support a preoperative suspicion of CBDS [19][20][21][22][23][24][25][26]. Some studies have even proposed predictive scores for CBDS [27][28][29][30]. The 2000 Tunisian consensus conference concerning treatment of CBDS proposed the application of the so-called Lacaine-Huguier score (LH score) in order to diagnose asymptomatic CBDS preoperatively [31].…”

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

“…This was mainly due to the lack of surgical expertise in laparoscopic common duct exploration and reluctance to convert to open surgery. Complex algorithms were developed 11,12 aimed at predicting the presence of occult choledocholithiasis to select those most likely to benefit from preoperative ERCP, yet a significant false-positive rate remained 13 . A combined approach of laparoscopic intraoperative cholangiography with selective postoperative ERCP to avoid unnecessary procedures has since been proposed 14 .…”

Validation du score prédictif de lithiase de la voie biliaire principale de Lacaine et Huguier : étude prospective de 380 patients

“…En effet Montariol et al ont comparé le score de Lacaine et Huguier, calculé à partir de données préopératoires, à ce même score calculé à partir de données peropératoires [35]. D'autres scores prédictifs de LVBP, basés sur des facteurs anamnestiques, cliniques, biologiques et radiologiques ont été proposés [27][28][29][30]. D'autres scores prédictifs de LVBP, basés sur des facteurs anamnestiques, cliniques, biologiques et radiologiques ont été proposés [27][28][29][30].…”

“…En outre, la CPO allonge la durée opératoire de 12 à 20 minutes, augmente l'exposition du personnel aux radiations ionisantes, et alourdit le coût de l'intervention [12]. Certaines études ont même proposé des scores prédictifs de LVBP [27][28][29][30]. Il n'y a pas eu de consensus quant à la réalisation systématique ou non de la cholangiographie peropératoire dans la littérature [11][12][13][14][15][16][17][18].…”