operative cholangiography

op·er·a·tive cho·lan·gi·og·ra·phy

(op'ĕr-ă-tiv kō-lan'jē-og'ră-fē)
Radiographic examination of the bile ducts with contrast medium during surgery to detect residual biliary calculi.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
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According to the UK guidelines for the management of acute pancreatitis (Working Party of the British Society of Gastroenterology), imaging of the CBD with operative cholangiography should be done in every patient with gallstones and pancreatitis [15].
Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study.
Additionally, in centers with the available resources and expertise, alternative techniques to operative cholangiography are becoming feasible including endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholecystocholangiography (PTC).
Value and consequences of routine intra operative cholangiography during laparoscopic cholecystectomy.
[10] involved routine performance of operative cholangiography. Routine operative cholangiography has been advocated to reduce the incidence of bile duct injury and major bile leakage.
Usefulness of laparoscopic subtotal cholecystectomy with operative cholangiography for severe cholecystitis.
Laparoscopic cholecystectomy (LC) and intra- operative cholangiography is the most preferred modality of treatment currently.45 Appropriate timing of cholecystectomy in the patients with acute gallstone pancreatitis is still controversial.6-8Beside this there is also a great concern regarding compliance of patients for definitive surgery due to poverty ignorance and illiteracy specially in developing countries.
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.
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. (7,8) The authors who favor routine use of intraoperative cholangiography suggest many anatomical anamolies, which are found during cholangiography and such findings may avoid numerous complications.
Operative Cholangiography. Surg Gynecol Obstet 1937; 65: 702-707

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