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OPERATIVE CHOLANGIOGRAPHY: A PERSPECTIVE
Author(s) -
Askew Allan,
Battersby Cameron
Publication year - 1992
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.1445-2197.1992.tb07045.x
Subject(s) - medicine , gallstones , cholangiography , abnormality , bile duct , radiology , general surgery , prospective cohort study , ultrasound , surgery , psychiatry
Two hundred and eighty‐seven patients having operative cholangiograms were identified from a prospective study of 346 patients undergoing surgery for gallstones. 1 Forty‐two patients (14.6%) had filling defects and bile duct (BD) exploration. The false‐positive exploration rate was 2.8%. Eight patients (2.8%) had unexpected BD calculi with no abnormality in pre‐operative liver function tests or ultrasound. If a policy of selective operative cholangiography is pursued, then failure to detect a small number of duct stones must be expected, although unnecessary duct exploration is likely to be eliminated. The clinical significance of undetected BD calculi remains debatable.