Association between cholecystectomy with vs without intraoperative cholangiography and risk of common duct injury.

ABSTRACT:

Importance

Significant controversy exists regarding routine intraoperative cholangiography in preventing common duct injury during cholecystectomy.

Objective

To investigate the association between intraoperative cholangiography use during cholecystectomy and common duct injury.

Design, setting, and participants

Retrospective cohort study of all Texas Medicare claims data from 2000 through 2009. We identified Medicare beneficiaries 66 years or older who underwent inpatient or outpatient cholecystectomy for biliary colic or biliary dyskinesia, acute cholecystitis, or chronic cholecystitis. We compared results from multilevel logistic regression models to the instrumental variable analyses.

Interventions

Intraoperative cholangiography use during cholecystectomy wa

SUBMITTER: Sheffield KM 

PROVIDER: S-EPMC3971930 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature