الفهرس 
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Abstract
In this study we will try to assess the value of intraoperative flexible Choledochoscope in the diagnosis and management of surgical obstructive jaundice.
Operative Choledochoscopy is common bile duct exploration is widely accepted because of its value and safety.
A consecutive series of 50 common bile duct exploration was studied to assess the value of intraoperative flexible Choledochoscope in the diagnosis and management of surgical jaundice, and to evaluate efficiency of the Choledochoscopy in clearing the common bile duct from stones after Choledocholithotomy, by the use of postoperative T-tube cholangiogram.
Each patient had a thorough history and physical examination as well as the necessary laboratory studies. Abdominal ultrasound was done for all patients.
Distribution of age incidence of patients was, 4 patients (6%) under age of 40 years, 25 patients (50%) between 40-60 years, and 22 patients (44%) over 60 years.
Male to female ratio was 1:1
The causes of obstructive jaundice were as the following: calcular obstructive jaundice 33 patients (66%), cancer head of pancreas 10 patients (20%), post operative strictures 4 patients (8%), cholangiocarcinoma 2 patients (4%), and one case of a choleddochal cyst. (2%).
The length of hospital stay ranged from 7-23 days. Postoperative morbidity occurred in 9 patients (18%). There were no additional complications attributed to the use of choledochoscope. The mortality rate was 4%.
We concluded the necessity of intraoperative choledochoscopy, since it reduces the incidence of retained stones, it enables assessment of pathological lesions within the biliary tract, and it aids in operative decision-making.