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Peroperatuvar Kolanjiografinin Selektif Kullanımı

Selective use of peroperative cholangiography

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Abstract (2. Language): 
A retrospective study of 497 consecutive patients who underwent elective surgical treatment for cholelithiasis and/or choledochol'ithiasis in Gazi University School of Medicine, Department of General Surgery from 1987 to 1990. Peroperative cholangiography (POC) was performed in 53 of 100 patients as further evaluation of common bile duct. Common bile duct exploration was performed in nine patients after POC. Of patients 47 were undergone to common bile duct exploration without POC. The rate of false negative and positive results of POC group were 1.9 % and 3.8 % respectively. Among the patients who did not undergo POC examination, the rate of false negative results was 8.5 % in common bile duct exploration. Doubtless, POC is a valuable tool. If clinical, laboratory findings and surgical exploration remind a common bile duct stones, POC eliminates an unnecessary common bile duct exploration. Selective use of POC has been recommended to reduce operation time, morbidity and operation costs.
Abstract (Original Language): 
1987-1990 yılları arasında Gazi Üniversitesi Tıp Fakültesi Genel Cerrahi anabilim dalında ard arda kolelithiasis ve/veya ekstrahepatik safra yollarında taş nedeniyle elektif cerrahi müdahale yapılan 497 hasta retrospektif olarak incelendi. Bunlardan 100 ünde ekstrahepatik safra yollarının daha iyi değerlendirilmesi amacıyla 53 vakada peroperatuvar kolanjiografi (POC) çekildi ve dokuz vakada POC sonrası koledok eksplorasyonu yapıldı. 47 vakada POC çekilmeksizin direkt koledok eksplorasyonu uygulandı. POC yalancı negatiftik oranı % 1.9 ve yalancı pozitiflik oranı % 3.8 dir. POC çekilmeden direkt koledok eksplorasyonu yapılan gupta negatif eksplorasyon oranı % 8.5 dir. POC eğer klinik, laboratuvar ve cerrahi eksplorasyon bulguları koledok taşını düşündürüyorsa şüphesiz değerli bir tekniktir ve gereksiz koledok eksplorasyonunu azaltmaktadır. Operasyon süresi, morbidite ve maliyeti azaltacağından dolayı POC nin selektif kullanılması önerilmektedir.
16-21

REFERENCES

References: 

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