SynthesisAnnals of the Royal College of Surgeons of England2012
Routine on-table cholangiography during cholecystectomy: a systematic review.
Synthesis in Annals of the Royal College of Surgeons of England, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04863482 (Safety of Laparoscopic ChOlecystectomy Performed by Trainee Surgeons With Different CHolangiographic Techniques), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Safety of Laparoscopic ChOlecystectomy Performed by Trainee Surgeons With Different CHolangiographic Techniques
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Selective intraoperative cholangiography should be considered over routine intraoperative cholangiography during cholecystectomy: a systematic review and meta-analysis.Surgical endoscopy · 2022Pooled it
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- Transcystic or transductal stone extraction during single-stage treatment of choledochocystolithiasis: a systematic review.World journal of surgery · 2014Pooled it
- Feasibility, benefit and risk of systematic intraoperative cholangiogram in patients undergoing emergency cholecystectomy.PloS one · 2018Trial
- National trends in utilization and readmission following intraoperative cholangiography in gallstone pancreatitis.Surgery open science · 2025Article
- Observational
- A Systematic Review of Laparoscopic Ultrasonography During Laparoscopic Cholecystectomy.Cureus · 2023Review
- Incidental Intraoperatively Detected Choledocholithiasis: A General Surgeon's Approach to Management.Cureus · 2023Article
- Resource use for cholecystectomy with versus without cholangiography: A multicenter, propensity-matched analysis.Surgery · 2023Article
- Article
- Near-infrared cholecystocholangiography with direct intragallbladder indocyanine green injection: preliminary clinical results.Surgical endoscopy · 2018Article
- Laparoscopic ultrasonography as an alternative to intraoperative cholangiography during laparoscopic cholecystectomy.World journal of gastroenterology · 2017Review
- Population-Based Studies Should not be Used to Justify a Policy of Routine Cholangiography to Prevent Major Bile Duct Injury During Laparoscopic Cholecystectomy.World journal of surgery · 2017Review
- Impact of intraoperative cholangiography on postoperative morbidity and readmission: analysis of the NSQIP database.Surgical endoscopy · 2016Observational
- Diagnosis and Treatment of Biliary Fistulas in the Laparoscopic Era.Gastroenterology research and practice · 2016Review
- Laparoscopic surgery: A qualified systematic review.World journal of methodology · 2015Article
- Timing and nature of presentation of unsuspected retained common bile duct stones after laparoscopic cholecystectomy: a retrospective study.Surgical endoscopy · 2015Article
- Laparoscopic cholecystectomy: consensus conference-based guidelines.Langenbeck's archives of surgery · 2015Review
- Cost analysis and effectiveness comparing the routine use of intraoperative fluorescent cholangiography with fluoroscopic cholangiogram in patients undergoing laparoscopic cholecystectomy.Surgical endoscopy · 2014Article
- Identifying patients most likely to have a common bile duct stone after a positive intraoperative cholangiogram.Gastroenterology & hepatology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of this review was to systemically analyse trials evaluating the efficacy of routine on-table cholangiography (R-OTC) versus no on-table cholangiography (N-OTC) in patients undergoing cholecystectomy.
methodsRandomised trials evaluating R-OTC versus N-OTC in patients undergoing cholecystectomy were selected and analysed.
resultsFour trials (1 randomised controlled trial on open cholecystectomy and 3 on laparoscopic cholecystectomy) encompassing 860 patients undergoing cholecystectomy with and without R-OTC were retrieved. There were 427 patients in the R-OTC group and 433 patients in the N-OTC group. There was no significant heterogeneity among trials. Therefore, in the fixed effects model, N-OTC did not increase the risk (p=0.53) of common bile duct (CBD) injury, and it was associated with shorter operative time (p<0.00001) and fewer peri-operative complications (p<0.04). R-OTC was superior in terms of peri-operative CBD stone detection (p<0.006) and it reduced readmission (p<0.03) for retained CBD stones.
conclusionsN-OTC is associated with shorter operative time and fewer peri-operative complications, and it is comparable to R-OTC in terms of CBD injury risk during cholecystectomy. R-OTC is helpful for peri-operative CBD stone detection and there is therefore reduced readmission for retained CBD stones. The N-OTC approach may be adopted routinely for patients undergoing laparoscopic cholecystectomy providing there are no clinical, biochemical or radiological features suggestive of CBD stones. However, a major multicentre randomised controlled trial is required to validate this conclusion.
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