title: Routine operative cholangiography: a critical appraisal.
abstract: If abnormal liver function tests are added to the classic criteria for expectancy of common bile duct stone, the rate of unexpected common bile duct stone findings should be 1 percent or less. This low rate does not justify the cost of routine operative cholangiography. However, a preexploratory operative cholangiogram should be performed prior to common bile duct exploration in order to avoid negative, and therefore unnecessary, common bile duct explorations.
mesh_terms: D002758:Cholangiography / Q000191:economics; D002763:Cholecystectomy / Q000401:mortality; D003135:Common Bile Duct / Q000601:surgery*; D005188:False Negative Reactions; D005189:False Positive Reactions; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008111:Liver Function Tests; D013514:Surgical Procedures, Operative / Q000401:mortality