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العنوان
Comparison between Benefits of Routine versus selective Intraoperative Cholangiography during Laparoscopic Cholecystectomy /
المؤلف
Elsayed, Ahmed Mohamed Abdelalim.
هيئة الاعداد
باحث / أحمد محمد عبد العليم السيد
مشرف / ياسر حتاته
مشرف / محمد إبراهيم
مشرف / أحمد نبيل
مناقش / أيمن العيسوي
مناقش / أحمد فهمى عمر
الموضوع
Laparoscopic surgery. Cholecystectomy.
تاريخ النشر
2016.
عدد الصفحات
116 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
20/4/2016
مكان الإجازة
جامعة الفيوم - كلية الطب - Department of surgery
الفهرس
Only 14 pages are availabe for public view

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Abstract

Background: Laparoscopic cholecystectomy is the standard treatment for patients requiring gallbladder removal. Although the advantages of the laparoscopic technique are widely accepted, the introduction of this technique has doubled the rate of operative complications of extrahepatic bile ducts. Research methods for biliary tree also evolved, but intraoperative cholangiography, the traditional exploring method used for the biliary tree in classic cholecystectomy remains a debatable intraoperative investigation.
Methods: A randomized controlled clinical trial of 60 patients was undertaken to assess the benefit of routine cholangiography during laparoscopic cholecystectomy for biliary complications. Cases are randomized into 2 groups. IOC was done to study group.
Result: Intraoperative cholangiogram is useful in selected cases but it needs more training and research.
Conclusion: We strongly recommend more researches and extension work to know which patients can benefit from IOC.