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Editorial |

Laparoscopic Cholecystectomy, Intraoperative Cholangiograms, and Common Duct Injuries

Karl Y. Bilimoria, MD, MS1,2; Jeanette Chung, PhD1,2; Nathaniel J. Soper, MD1
[+] Author Affiliations
1Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
2Northwestern Institute for Comparative Effectiveness Research, Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA. 2013;310(8):801-803. doi:10.1001/jama.2013.276206.
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In the late 1980s, laparoscopic cholecystectomy was quickly adopted because it reduced the morbidity associated with the operation and had a relatively straightforward learning curve. However, compared with the open procedure, laparoscopic cholecystectomy was also associated with an increased incidence of common duct injuries, generally due to misinterpretation of the biliary anatomy during the operation. Common duct injuries can have devastating consequences. Although common duct injury rates have decreased slightly through the years, they have not been eliminated and remain a serious risk.13 Observational studies of intraoperative cholangiography (which involves placing a catheter into the cystic duct, injecting contrast material, and obtaining radiographs) have examined whether intraoperative cholangiography may reduce the risk of common duct injury during cholecystectomy, but the results of these studies have not been consistent.47

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