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Article
November 1959

Operative Cholangiography

Author Affiliations

Rochester, Minn.
Section of Surgery (Dr. Ferris) and Section of Roentgenology (Dr. Hodgson), Mayo Clinic and Mayo Foundation.

AMA Arch Surg. 1959;79(5):857-860. doi:10.1001/archsurg.1959.04320110159027
Abstract

Cholecystectomy is a satisfactory operation for the diseased gallbladder which contains stones; the operation is followed by unsatisfactory results in only 5% to 10% of cases. Yet this small percentage of unsatisfactory results is somewhat misleading, since, when the tremendous number of such operations performed is considered, the actual number of unsatisfactory results becomes a problem of considerable magnitude. The use of operative cholangiography is one means of lessening the number of unsatisfactory results.

This film illustrates in detail the technique of operative cholangiography and also shows the techniques of cholecystectomy, choledocholithotomy, and choledochostomy. The teamwork involved in the actual taking of the radiographs is shown. Technically satisfactory results can be obtained with mobile x-ray equipment, with the use of a Lysholm grid as a secondary diaphragm. The contrast medium is a 35% solution of iodopyracet (Diodrast). Two cases are used to demonstrate fully all phases of the technique. A

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