Feasibility of laparoscopic cholecystectomy for patients with a nonvisualized gallbladder on drip infusion cholangiography

Surg Laparosc Endosc. 1995 Apr;5(2):121-4.

Abstract

We report here the operative findings, the incidence of successful laparoscopic treatment, and the perioperative complications in patients with nonvisualized gallbladder on drip infusion cholangiography (DIC). Eighty-five patients with a nonvisualized gallbladder on DIC were entered into the study. None of the patients had a minimal adhesive gallbladder; 51 to 85 patients (60.0%) had moderate adhesive gallbladders, and 34 (40.0%) had severely adhesive ones. The rate of successful laparoscopic treatment, including laparoscopy-assisted abdominal surgery, was 97.6% (83 of 85 patients). Perioperative complications occurred in only three patients (3.5%), and there were no deaths related to the operation. Thus, when patients with a nonvisualized gallbladder on DIC undergo laparoscopic cholecystectomy, meticulous procedures must be carried out; however, as the rate of successful laparoscopic treatment is high, cholecystectomy under laparoscopy is feasible for experienced surgeons.

MeSH terms

  • Cholangiography / methods*
  • Cholecystectomy, Laparoscopic*
  • Cholelithiasis / complications
  • Cholelithiasis / diagnostic imaging
  • Cholelithiasis / surgery*
  • Contrast Media / administration & dosage
  • Feasibility Studies
  • Female
  • Humans
  • Infusions, Intravenous / methods
  • Intraoperative Complications / epidemiology
  • Iodipamide / administration & dosage
  • Iodipamide / analogs & derivatives
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology
  • Tissue Adhesions / complications

Substances

  • Contrast Media
  • meglumine iotroxinate
  • Iodipamide