This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (119)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Review of 3,012 Cases

Gerard S. Kakos, MD; Ronald K. Tompkins, MD; William Turnipseed, MD; Robert M. Zollinger, MD

AMA Arch Surg. 1972;104(4):484-488.

Abstract
Among the four five-year periods from 1951 through 1970, the overall incidence of common duct calculi was relatively stable at 13% in 3,012 patients undergoing cholecystectomy with or without common duct exploration. The use of operative cholangiography rose progressively from 2.9% in the 1951-1955 period to 93% in the 1966-1970 group. This change was associated with a decrease in number of patients undergoing choledochotomy from 41% to 25% and by a striking increase in the number of positive explorations from 28% to 62% (1966 to 1970). No morbidity or mortality could be attributed directly to cholangiography. The recovery rate for calculi in patients who had choledochotomy for traditional criteria, to the exclusion of cholangiography, remained unchanged during these 20 years.

Author Affiliations
Columbus, Ohio; Los Angeles; Columbus, Ohio

From the Department of Surgery, the Ohio State University College of Medicine, Columbus (Drs. Kakos, Turnipseed, and Zollinger), and the Department of Surgery, University of California College of Medicine, Los Angeles (Dr. Tompkins).

Footnotes
Accepted for publication Dec 7, 1971.

Read before the 79th annual meeting of the Western Surgical Association, Portland, Ore, Nov 19, 1971.

Reprint requests to Department of Surgery, Ohio State University Hospitals, 410 W Tenth Ave, Columbus, Ohio 43210 (Dr. Kakos).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Role of Cholangiography in Laparoscopic Cholecystectomy
Sackier et al.
Arch Surg 1991;126:1021-1026.
ABSTRACT  

Prophylactic Cholecystectomy or Expectant Management for Silent Gallstones: A Decision Analysis to Assess Survival
RANSOHOFF et al.
ANN INTERN MED 1983;99:199-204.
ABSTRACT  

Operative Cholangiography in a Rural Surgical Practice
Wiethoff et al.
Arch Surg 1974;109:254-256.
ABSTRACT  

Nonroutine Operative Cholangiography
Thurston
Arch Surg 1974;108:512-515.
ABSTRACT  

Routine Operative Cholangiography: Analysis of 506 Consecutive Cholecystectomies
Saltzstein et al.
Arch Surg 1973;107:289-291.
ABSTRACT