Absolute indication for choledochotomy
Gallstone ileus
Fever
Gallstone pancreatitis
Palpable CBD stone
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
G.I.T