System Procedures Manal AlOsaimi Anatomy Anatomy Operative Immediate Cholangiogram Definition During surgery During Cholecystectomy Indication If the surgeon may suspect that residual stones are located in the ID: 914067
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Slide1
Gall Bladder and Biliary System Procedures
Manal
AlOsaimi
Slide2Anatomy
Slide3Anatomy
Slide4Operative (Immediate) Cholangiogram
Definition
During surgery, During
Cholecystectomy
Indication
If the surgeon may suspect that residual stones are located in the
biliary
ducts .
Slide5Operative (Immediate) Cholangiogram
Rt
hepatic duct
Lt hepatic duct
Common hepatic duct
Common bile duct
catheter
Slide6Post Operative (T-Tube) Cholangiography
Slide7Post operative ( T-Tube ) cholangiography
The CM injected fractionated under
fluroscopic
control .
Spot radiographs are taken in AP and varying degrees of
obliquety
Slide8Endoscopic retrograde cholangiopancreaography ERCPIt is a combined radiological and
endoscopical
procedure aiming at obtaining radiographs on the bile and pancreatic ducts through a retrograde injection of contrast medium via the
ampula
of
Vater
Slide9Endoscopic retrograde cholangiopancreatography (ERCP)
Slide10Catheter
T-shape
Endoscope
Summery
Slide11Thank You