Intervention versus surveillance in patients with common bile duct stones detected by intraoperative cholangiography: a population-based registry study.

ABSTRACT:

Background

Each year 13 000 patients undergo cholecystectomy in Sweden, and routine intraoperative cholangiography (IOC) is recommended to minimize bile duct injuries. The risk of requiring endoscopic retrograde cholangiopancreatography (ERCP) following cholecystectomy for common bile duct (CBD) stones where IOC is omitted and in patients with CBD stones left in situ is not well known.

Methods

Data were retrieved from the population-based Swedish Registry of Gallstone Surgery and ERCP between 1 January 2009 and 10 December 2019. Primary outcome was risk for postoperative ERCP for retained CBD stones.

Results

A total of 134 419 patients that underwent cholecystectomy were included and 2691 (2.0 per cent) subsequently underwent ERCP for retained CBD stones. When adjusti

SUBMITTER: Johansson E 

PROVIDER: S-EPMC10364905 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature