Journal
JOURNAL OF GASTROINTESTINAL SURGERY
Volume 5, Issue 4, Pages 434-437Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S1091-255X(01)80073-1
Keywords
bile duct stones; laparoscopic cholecystectomy; predictive score
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A means of accurately predicting the presence of stones in the bile duct in patients undergoing laparoscopic cholecystectomy for gallbladder stones is lacking. With the use of a three-stage analysis, a predictive score was developed from seven common parameters. Initially die score was formulated by using data from a retrospective series of patients undergoing laparoscopic cholecystectomy; the system was then tested prospectively over a 1-year period in patients undergoing laparoscopic cholecystectomy for gallbladder stones. This simple scoring system demonstrated an ability to predict bile duct stones with a sensitivity in excess of 70%. The use of such a score may allow the development of preoperative strategies for treating patients undergoing laparoscopic cholecystectomy.
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