Laparoscopic Intraoperative Cholangiography Interpretation by Surgeons versus Radiologists, A Comparative Study and Review of 200 Cholangiographies
Table 1
Variables
Number (%)
Age (years)
20–<40
109 (54.5)
40–60
79 (39.5)
More than 60
12 (6.0)
Gender
Males
95 (47.5)
Females
105 (52.5)
Admission diagnosis
Acute cholecystitis
81 (40.5)
Chronic cholecystitis
55 (27.5)
Biliary pancreatitis
37 (18.0)
Persistent biliary colic
27 (13.5)
Indication of IOC
History of jaundice or pancreatitis
55 (27.5)
Preoperative elevated chemistry
135 (67.5)
Preoperative ultrasonographic abnormalities
155 (77.5)
Operative findings
40 (20.0)
Training
2 (1.0)
Cystic duct cannulation
Successful
195 (97.5)
Unsuccessful
5 (2.5)
IOC findings
Surgeon readings
Radiologist reading
Duct dilatation
55 (27.5)
38 (19.0)
Filling defects
41 (20.5)
29 (14.5)
(1) Initially
17
14
(2) After Dormia basket manipulation
Choledochal cyst
0 (0.0)
0 (0.0)
Strictures
0 (0.0)
4 (2.0)
Failure of passage of dye into duodenum
(1) Initially
24 (12.0)
24 (12.0)
(2) After Dormia basket manipulation
11 (5.5%)
11 (5.5)
Congenital anomalies
0 (0.0)
0 (0.0)
Contrast leakage
4 (2.0)
4 (2.0)
IOC complications
Ductal injuries
2 (1.0)
Perforation
0 (0.0)
Mild transient chemistry abnormalities
12 (6)
Postoperative course
Discharge
183 (91.5)
ERCP
17 (8.5)
MRCP
7 (3.5)
Reoperation
0 (0.0)
ERCP
Preoperative
2 (1.0)
Postoperative
Surgeon readings
Radiologist reading
Total
17 (8.5)
17 (8.5)
(1) Abnormal ERCP with abnormal LIOC (true positive)
5 (2.5)
8 (4.0)
(2) Normal ERCP with normal LIOC (true negative)
3 (1.5)
4 (2.0)
(3) Abnormal ERCP with normal LIOC (false negative)
3 (1.5)
2 (1.0)
(4) Normal ERCP with abnormal LIOC (false positive)
6 (3.0)
3 (3.0)
Postoperative MRCP
(1) Abnormal MRCP with abnormal LIOC (true positive)
4 (2.0)
(2) Normal MRCP with abnormal LIOC (false positive)
3 (1.5)
Total number of cases is 200. ERCP: endoscopic retrograde cholangiopancreatography; LIOC: laparoscopic intraoperative cholangiography; MRCP: magnetic resonance cholangiopancreatography.
