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Suggested New Rules for Exploration of the Common Bile Duct at Cholecystectomy 1
Author(s) -
Hugh T. B.
Publication year - 1975
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1975.tb05778.x
Subject(s) - medicine , cholangiography , anachronism , common duct , general surgery , common bile duct , bile duct , radiology , surgery , politics , political science , law
Traditional indications for exploration of the common bile duct have been made anachronistic by developments in operative cholangiography. A new technique of contact cholangiography, described in this paper, improves the precision of operative cholangiography and allows the traditional indications for exploration to be modified. A neve set of guidelines for exploration of the common duct, based on high‐quality operative cholangiography, is outlined, and the place of the supraduodenal and transduodenal routes for exploration is discussed. The results of the application of these policies in a series of 120 cholecystectomies are presented.