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What is Absolute indication for choledochotomy : and explain in detail?
Ans. is 'd' i.e. Palpable CBD stone During open cholecystectomy there are ceain traditional indications for choledochotomy. These are: Absolute indications (high suspicion of CBD calculi) a) palpable CBD stone b) jaundice with cholangitis c) demonstration of stones by intraoperative cholangiography d) dilatation of CBD > 12 mm Relative indications (low suspicion of CBD calculi) a) jaundice without cholangitis b) h/o pancreatitis c) dilated CBD d) when on aspiration bile is white e) a dilated cystic duct In laparoscopic cholecystectomy, the only indication of laproscopic choledochotomy is when transcystic duct exploration is not possible.