Continuous efforts were made to decrease the number of negative common bile duct explorations, while increasing the positive exploration rate till the introduction of operative cholangiography by Mirrizzi in 1931.
Also early division of cystic duct in LC is more dangerous than traditional open cholecystectomy and this has led a number of authors to perform routine operative cholangiography.
In summary, we performed operative cholangiography routinely in 20 consecutive cases of laparoscopic cholecystectomy.
Value and consequences of routine intra operative cholangiography
during laparoscopic cholecystectomy.
Laparoscopic cholecystectomy (LC) and intra- operative cholangiography
is the most preferred modality of treatment currently.
Out of 11 patients operated, operative cholangiography revealed patent extrahepatic biliary tree in 6 patients (55%), thus excluding biliary atresia.
Definitive exclusion of biliary atresia in the infant with cholestatic jaundice usually requires operative cholangiography (OCG)/ percutaneous cholecysto-cholangiography (PCC) and open liver biopsy/ percutaneous liver biopsy9.
Operative cholangiography, being the final diagnostic manoeuvre, was performed as a preliminary step, prior to proceeding to Kasai portoenterostomy.