SELECTIVE PER-OPERATIVE CHOLANGIOGRAPHY AND SCORING METHOD FOR SELECTION

A prospective clinical study was undertaken over a period of 3 years on a series of 210 consecutive cases of gall stones to review a selective policy for per-operative cholangiography (PC). AIIpatients had elective cholecystectomy and routine PC. A scoring method (SM) based on pre and per-operative surgical criteria was adopted to determine the necessity of PC before this was attempted. The study revealed that PC was indicated in 64 cases (30.5%) only. Of these 64 patients 20 had abnormal cholangiograms of which 18 proved positive on exploration. There were two false positive results (0.95%) of PC but no false negative result. Of 146 patients…

 

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