{"id":2472,"date":"2009-08-17T18:54:42","date_gmt":"2009-08-17T18:54:42","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/surchol\/"},"modified":"2025-05-14T19:09:18","modified_gmt":"2025-05-14T19:09:18","slug":"surchol","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/surchol\/","title":{"rendered":"Indications for Selective Operative Cholangiography"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Selective intraoperative cholangiography (IOC) during laparoscopic cholecystectomy is a safe practice when the ductal anatomy is clearly defined and there is no laboratory or clinical evidence of common bile duct abnormalities.<!--more--><\/p>\n<p><strong>Preoperative Indications<\/strong><\/p>\n<ul>\n<li>Recent history of acute biliary pancreatitis<\/li>\n<li>Recent history of jaundice<\/li>\n<li>Recent history of cholangitis<\/li>\n<li>Abnormal preoperative ultrasound demonstrating a dilated common bile duct or a defect (stone) in the common bile duct<\/li>\n<li>Evidence of common bile duct obstruction on hepatobiliary iminodiacetic acid scan (HIDA Scan)<\/li>\n<li>Increased serum bilirrubin<\/li>\n<li>Increased serum alkaline phophatase<\/li>\n<li>Increased serum amylase<\/li>\n<\/ul>\n<p><strong>Intraoperative Indications<\/strong><\/p>\n<ul>\n<li>Dilated extrahepatic bile ducts<\/li>\n<li>Unusual anatomy or inability to discern anatomy<\/li>\n<li>Concern or suspicion of bile duct injury<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Dorazio RA. Selective operative cholangiography in laparoscopic cholecystectomy. Am Surg. 1995 Oct;61(10):911-3.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7668467\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Robinson BL, Donohue JH, Gunes S, Thompson GB, Grant CS, Sarr MG, Farnell MB, van Heerden JA. Selective operative cholangiography. Appropriate management for laparoscopic cholecystectomy. Arch Surg. 1995 Jun;130(6):625-30.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7763171\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Aug 17, 2009<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[165],"tags":[1422,1421,74,73,1420,1419,1418,1417,766],"class_list":["post-2472","post","type-post","status-publish","format-standard","hentry","category-surgery","tag-cholangiography","tag-colangiografia","tag-indicaciones","tag-indications","tag-operative","tag-operatoria","tag-selectiva","tag-selective","tag-surgery"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2472"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2472\/revisions"}],"predecessor-version":[{"id":8980,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2472\/revisions\/8980"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}