Clinical outcome of emergency surgery for the acute cholecystitis

Abstract

Buscopan, glucagon, and/or saline flushing via cholangiogram catheter 2. Passage of cholangiogram catheter into the duodenum 3. Fluoroscopy-guided basket extraction 4. Choledochoscopy-guided basket extraction 5. Transpapillary stent placement when postoperative ERCP is required Passage of the cholangiogram catheter can be considered before basket or choledochoscopic exploration because it establishes that the cystic duct e bile duct junction can be safely traversed. It may also facilitate passage of gravel or fine stones in the distal bile duct into the duodenum without necessitating the use of basket along with the added risk from this. Conclusion: This stepwise approach allows reserving the use of the transcystic basket to a potentially smaller subset of patients with the aim of reducing the overall risk of bile duct exploration.