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The Case for Its Broadened Use in Biliary Tract Surgery

John H. Isch, MD

AMA Arch Surg. 1973;107(1):106-110.

Abstract
A review of the modern literature on the role of cholangiography in biliary tract surgery leads to the following conclusions: (1) Since approximately 10% of patients who harbor common duct stones do not present the common clinical indications for choledochotomy, cholangiography should be performed routinely in all operations on the biliary tree before deciding for or against common duct exploration. (2) Since false negatives occasionally occur, a negative cholangiogram should not prevent choledochotomy if strong clinical or intraoperative indications are present. (3) Since the incidence of retained stones after choledochotomy can range as high as 30%, intraoperative completion cholangiography should be routinely performed after choledochotomy.

Author Affiliations
Miami, Fla

From the Department of Surgery, University of Miami (Fla) School of Medicine.

Footnotes
Accepted for publication Feb 13, 1973.

Reprint requests to 2451 Brickell Ave, Miami, FL 33129.

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ABSTRACT