When is operative cholangiography used?

When is operative cholangiography used?

Intraoperative cholangiography (IOC) is most commonly used during elective cholecystectomy to assess for retained stones and to provide clarification of the biliary anatomy; rarely is it necessary or helpful in assessing extent of biliary tumors or during hepatic resection (Sotiropoulos et al, 2004).

What is the critical view in gallbladder surgery?

The “critical view of safety” approach has only been recently discussed in controlled studies. It is characterized by a blunt dissection of the upper part of Calot’s space, which does not usually contain arterial or biliary anomalies and is therefore ideal for a safe dissection, even in less experienced hands.

What is the critical view of safety in laparoscopic cholecystectomy?

Abstract: The critical view of safety (CVS) technique is a means of target identification, the targets being the cystic duct and artery. It was introduced more than 20 years ago in an attempt to reduce the rising incidence of biliary injuries. CVS is based on a method of anatomic identification in open cholecystectomy.

What is a cholangiography used for?

Cholangiography means looking at the structure of the bile ducts and gallbladder. It can help to find the size of a gallbladder cancer and whether it has spread.

What are the indications for intraoperative cholangiogram?

The indications for selective intraoperative cholangiography (IOC) include a clinical history of jaundice, pancreatitis, elevated bilirubin level, abnormal liver function test results, increased amylase levels, a high lipase level, or dilated common bile duct on preoperative ultrasonography.

What is the safest gallbladder surgery?

The most common and safest approach is to surgically remove the gallbladder through a procedure called laparoscopic cholecystectomy.

Is laparoscopic intraoperative cholangiogram a matter of routine?

Intraoperative cholangiography during laparoscopic cholecystectomy reveals the anatomy of the biliary tree and any stones contained within it. The use of intraoperative cholangiography may be routine for all laparoscopic cholecystectomy.