Absolute indication for choledochotomy :: (A) Gallstone ileus, (B) Gallstone pancreatitis, (C) Fever, (D) Palpable CBD stone
Answer is D. 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.