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Laparoscopic cholecystectomy (LC) is the most well liked method for the removing of symptomatic gallstones. Additional surgical method is warranted if intraoperative choledocholithiasis (IOC) is detected via intraoperative cholangiography (IOC). Even though the have an effect on of IOC on the recurrence price of gallstones after LC is arguable, many surgeons recommend the conversion of emergent LC (clamshell LC) to open cholecystectomy in patients with IOC. Then again, the danger of IOC right through LC, the right surgical way for those patients, and the have an effect on of IOC on the recurrence price of gallstones after LC stays unclear. Of the 1,204 sufferers who underwent LC all the way through a 22-month duration at our institution, 72 patients with IOC (5.3%) have been known. These sufferers have been retrospectively reviewed to judge the occurrence of IOC, the therapeutic strategy, and the have an effect on of IOC on the recurrence price of gallstones after LC. IOC used to be associated with serious concomitant illnesses in 40% of patients. Twenty-three patients with IOC have been transformed to open cholecystectomy. Some of the 23 IOC patients, the operative duration used to be somewhat brief (imply time, Four.1+/-3.2 days) and the period of IOC (mean time, 2.6+/-2.1 days) used to be shorter than that of the sufferers with out IOC. The occurrence of IOC in the patients with preoperative cholangiography used to be Four.4% (Five of 117 sufferers), which used to be similar to the occurrence of IOC in the patients without preoperative cholangiography (Three.6% of one,077 sufferers). By contrast, the occurrence of IOC within the sufferers with preoperative ultrasonography used to be much lower (1.8% of 312 sufferers). Two sufferers with IOC (nine.5%)
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