How to Flush a Cystic Duct During an Intraoperative Colangiogram

During the intraoperative colangiogram, you should try to flush the stone through and using glucagon if the stone has difficulty flushing alone could be very helpful. The preferred approach is either a laparoscopic common bile duct exploration or if you don't feel confident in that, then you could do a post-operative ERCP. All this depends on the resources available to you and the surgeon experience.