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Titolo:
PREOPERATIVE EVALUATION OF THE PROBABILITY OF COMMON BILE-DUCT STONES
Autore:
MONTARIOL T; REY C; CHARLIER A; MARRE P; KHABTANI H; HAY JM; FINGERHUT A; LACAINE F; BERTHELIN JL; FINGERHUT A; OBERIN P; VINSON B; FLAMANT Y; ZEITOUN G; MAGDELEINAT P; LEPICARD P; DEMESTIER P; JULIENNE P; MSIKA S; NASSAR H; PICARD D; COLOMBU JP; GUILLERAY P; PUJOL JP; SOULIER Y; GEMAYEL T; VEYRIERES M; ALNEIMI K; IMBAUD P; WARLIN JF;
Indirizzi:
CTR HOSP,DEPT SURG F-78100 ST GERMAIN LAYE FRANCE
Titolo Testata:
Journal of the American College of Surgeons
fascicolo: 3, volume: 180, anno: 1995,
pagine: 293 - 296
SICI:
1072-7515(1995)180:3<293:PEOTPO>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATIVE CHOLANGIOGRAPHY; ELECTIVE CHOLECYSTECTOMY; PREDICTION; LITHIASIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
T. Montariol et al., "PREOPERATIVE EVALUATION OF THE PROBABILITY OF COMMON BILE-DUCT STONES", Journal of the American College of Surgeons, 180(3), 1995, pp. 293-296

Abstract

BACKGROUND: This study was done to determine if certain criteria could predict the presence of common bile duct stones in patients with symptomatic gallstones. It was hoped that patients could be identified inwhom intraoperative cholangiography was unnecessary. STUDY DESIGN: One hundred seventy-five patients, from 15 surgical centers, were prospectively enrolled, For each patient, the preoperative score (Huguier score) previously published was calculated according to clinical and ultrasound data: age, diameter of the common bile duct, diameter of the smallest gallstone, history of biliary colic, and acute cholecystitis. All patients underwent an open cholecystectomy and an intraoperative cholangiography. The absence or presence of a common bile duct stone was evaluated during the operation, if necessary, after an instrumental investigation of the common bile duct. RESULTS: Ultrasound was not interpretable in eight (5 percent) of 175 patients. Final analysis was; made from the charts of the 167 remaining patients, Thirty (18 percent)had common bile duct stones, When the score was equal to or greater than 3.5, the risk of having a common bile duct stone was 24 percent (27 of 111), When the score was less than 3.5, this risk was 5 percent (three of 56), CONCLUSIONS: Huguier's score is well assessed and can besafely used. Intraoperative cholangiography could be avoided in 33 percent of patients when the score is less than 3.5 (56 of 167).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 18:06:58