Absolute indication for choledochotomy
Choledochotomy Absolute indications(High Suspicion of CBD calculi) Palpable CBD stone Jaundice with cholangitis Demonstration of stone on intra operative cholangiography CBD diameter >12 mm Relative indication (Low Suspicion of CBD calculi) Jaundice without cholangitis History of pancreatitis. Dilated CBD White bile on aspiration Dilated cystic duct Ref: Shackelford 7th edition Pgno :1326-1331
Gallstone ileus
Fever
Gallstone pancreatitis
Palpable CBD stone
G.I.T