Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A selective approach to operative cholangiography.

A H Olivencia-Yurvati1, D K Watson, R E Jackson

  • 1Department of Surgery, Tulsa Regional Medical Center, OK 74127.

The Journal of the American Osteopathic Association
|April 1, 1991
PubMed
Summary

Selective operative cholangiography is effective for detecting common bile duct stones. This approach, guided by laboratory and operative criteria, ensures no stones are missed while optimizing resource use.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Anaesthesia for lung volume reduction surgery and endobronchial valves.

BJA education·2021
Same author

Extra-virgin olive oil for potential prevention of Alzheimer disease.

Revue neurologique·2019
Same author

Mediterranean diet: The role of long-chain ω-3 fatty acids in fish; polyphenols in fruits, vegetables, cereals, coffee, tea, cacao and wine; probiotics and vitamins in prevention of stroke, age-related cognitive decline, and Alzheimer disease.

Revue neurologique·2019
Same author

Cervical cerclage, pessary, or vaginal progesterone in high-risk pregnant women with short cervix: a randomized feasibility study.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2019
Same author

A multicentre snapshot study of the incidence of serious procedural complications secondary to central venous catheterisation.

Anaesthesia·2016
Same author

Women's and clinicians perspectives of presentation with reduced fetal movements: a qualitative study.

BMC pregnancy and childbirth·2016

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Diagnostic Imaging

Background:

  • Operative cholangiography is a standard procedure for detecting common bile duct stones during cholecystectomy.
  • Previous studies have established its diagnostic value.

Purpose of the Study:

  • To evaluate the effectiveness of a selective approach to operative cholangiography.
  • To determine if operative cholangiography can be used more selectively based on specific patient criteria.

Main Methods:

  • Retrospective evaluation of 150 patients undergoing routine cholecystectomy.
  • Analysis of cholangiogram results alongside laboratory values (bilirubin, alkaline phosphatase) and operative findings.

Main Results:

Related Experiment Videos

  • 75% of patients had normal cholangiograms and normal laboratory values.
  • 25% of patients exhibited abnormal cholangiograms and abnormal laboratory chemistry.
  • Selective application of operative cholangiography, based on indications for common bile duct exploration, would not have missed any ductal stones.

    • Conclusions:

    • A selective approach to operative cholangiography is a safe and effective strategy.
    • This selective method can be successfully implemented using laboratory and operative criteria.
    • Optimizing the use of operative cholangiography improves efficiency without compromising stone detection.