[Intraoperative bile duct diagnosis]

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Diagnostic Imaging
• Surgical Procedures

Context:

• Diseases of the gallbladder and choledochus (bile duct) require precise intra-operative diagnosis.
• Current surgical practice involves a staged approach to diagnosis and treatment.
• Accurate diagnostics are crucial for successful surgical outcomes.

Purpose:

• To categorize and describe modern intra-operative diagnostic procedures for gallbladder and bile duct diseases.
• To differentiate diagnostic methods performed before and after choledochotomy.
• To provide a comprehensive overview of available intra-operative diagnostic tools.

Summary:

• Intra-operative diagnostics for gallbladder and bile duct conditions are divided into pre- and post-choledochotomy phases.
• Pre-choledochotomy procedures include inspection, palpation, cystic duct cholangiography, and pressure measurement.
• Post-choledochotomy diagnostics involve choledochus and liver examination, open bile duct cholangiography, and biliary endoscopy.

Impact:

• Enhances understanding of diagnostic workflows in hepatobiliary surgery.
• Aids surgeons in selecting appropriate diagnostic tools during procedures.
• Contributes to improved patient management and surgical decision-making for bile duct diseases.