ROUTINE OPERATIVE CHOLANGIOGRAPHY WITH CHOLECYSTECTOMY

  • 1 January 1980
    • journal article
    • research article
    • Vol. 151  (5) , 657-658
Abstract
Patients (440) who underwent cholecystectomy and routine operative cholangiography were reviewed. False-positive and false-negative examinations were 3.8 and 0.2%, respectively. Unsuspected common duct stones were found 0.9% of the time by cholangiography. The yield of common duct exploration was 63.8%. Operative cholangiography spares at least two-thirds of the patients with clinical indication of choledocholithiasis unnecessary common duct explorations. The yield of operative cholangiography in patients with no clinical indication of choledocholithiasis is extremely low and the cost-to-benefit ratio of routine operative cholangiography is high. Operative cholangiography should be used prior to common duct exploration for any clinical suspicion of common duct pathology. Routine operative cholangiography is not indicated for those patients with no clinical indication of common duct pathology.

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