Jove
Visualize
Contact Us

Related Experiment Videos

The case for selective cholangiography.

R O Gregg1

  • 1Department of Surgery, Upstate Medical Center, Syracuse, New York.

American Journal of Surgery
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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

Closure of the colostomy stoma, a simplified plan of management.

Surgery·2010
Same author

Screening mammography for breast cancer.

American journal of surgery·1993
Same author

Case for selective cholangiography.

American journal of surgery·1989
Same author

An ideal operation for diverticulitis of the colon.

American journal of surgery·1987
Same author

Bypass or amputation? Concomitant review of bypass arterial grafting and major amputations.

American journal of surgery·1985
Same author

Embolectomy or heparin therapy for arterial emboli?

Surgery·1983
Same journal

Innovative management of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES): A meta-analysis and introduction of a new robotic approach with patient-based algorithm.

American journal of surgery·2026
Same journal

Does the risk outweigh the benefit? Clot progression, recanalization & complications of anticoagulation therapy in acute pancreatitis with concomitant splanchnic vein thrombosis.

American journal of surgery·2026
Same journal

High and low body mass index and 90-day postoperative outcomes in patients with Crohn's disease undergoing abdominal surgery.

American journal of surgery·2026
Same journal

Women with firearm injuries: A multicenter mixed-methods study.

American journal of surgery·2026
Same journal

SBAS presidential address: A surgeon-scientist's journey from haptic science to digital performance metrics.

American journal of surgery·2026
Same journal

Using Dr. Google and AI to stay informed.

American journal of surgery·2026
See all related articles
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

Intraoperative cholangiography is recommended only for moderate indications of common duct stones, balancing cost-effectiveness and patient outcomes. Routine use or use in maximal indication cases is not advised.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Hepatobiliary Surgery

Background:

  • Common duct stones pose a significant risk following gallbladder surgery.
  • The utility and indications for intraoperative cholangiography remain a subject of clinical debate.
  • Assessing the cost-effectiveness of diagnostic procedures is crucial in healthcare.

Purpose of the Study:

  • To evaluate the efficacy and necessity of intraoperative cholangiography in managing common duct stones.
  • To determine optimal patient selection criteria for intraoperative cholangiography.
  • To analyze the recurrence rates of common duct stones based on diagnostic procedures.

Main Methods:

  • Retrospective analysis of 765 patients undergoing surgery between 1979-1985.
  • Categorization of patients into minimal, moderate, and maximal indication groups for common duct stones.

Related Experiment Videos

  • Comparison of recurrence rates between patients who underwent cholangiography and those who did not.

    • Main Results:

    • Incidence of common duct stones varied significantly by indication group (4% minimal, 21% moderate, 91% maximal).
    • Recurrence rates were low in patients without cholangiography (0.45%) compared to those with minimal indications.
    • Cholangiography demonstrated value primarily in moderate indication cases.

    Conclusions:

    • Intraoperative cholangiography is cost-effective and indicated for moderate indications (jaundice, dilated common duct, pancreatitis, elevated amylase).
    • It is not recommended for minimal indications (e.g., small gallstones, isolated elevated alkaline phosphatase) or maximal indications (e.g., deep jaundice, cholangitis).
    • Selective use in 7-8% of patients is suggested based on these findings.