Publication: Routine or selective intraoperative cholangiography.
Issued Date
1994-01-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-0028367746
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.77, No.1 (1994), 46-51
Suggested Citation
C. Euanorasetr, A. Kanjanapitak Routine or selective intraoperative cholangiography.. Journal of the Medical Association of Thailand. Vol.77, No.1 (1994), 46-51. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/9780
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Title
Routine or selective intraoperative cholangiography.
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Abstract
IOC is definitely indicated in patients with clinical indications. It avoided unnecessary exploration of the common bile duct in 32.7 per cent. Of all the clinical indications, palpable common bile duct stone was the most accurate. Dilated common bile duct, dilated cystic duct, elevated serum alkaline phosphatase, multiple small stones and positive imaging investigations were a statistically significant prediction of common bile duct stones. IOC is not justified in patients without clinical indications because of the low incidence of unsuspected common bile duct stone (0.66%) and on the basis of cost-effectiveness. The results support the view that IOC is invaluable and should be used selectively.