Evidence map›Paper›PMID 25669635›Full record

ArticleSurgical endoscopy2015

SAGES expert Delphi consensus: critical factors for safe surgical practice in laparoscopic cholecystectomy.

Philip H Pucher, L Michael Brunt, Robert D Fanelli, Horacio J Asbun, Rajesh Aggarwal

Registry-linked trialAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2015. 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 75 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT04863482 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Safety of Laparoscopic ChOlecystectomy Performed by Trainee Surgeons With Different CHolangiographic Techniques

TypeinterventionalSponsorUniversità Politecnica delle MarcheRan2021 to 2021Enrolled1,500ConditionsCholecystitis, GallstoneArmsIOC
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Guideline
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  5. Pooled it
  6. Pooled it
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  11. Article
  12. Prevention of bile duct injury - A bird's eye view.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
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  15. Article
  16. Article
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  19. Management, evolution and risk factors of bile leaks after subtotal cholecystectomies: a cohort study in Quito, Equador.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026
    Article
  20. Review

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Philip H PucherDepartment of Surgery and Cancer, Imperial College London, 10th floor QEQM Building, St Mary's Hospital, Praed Street, London, W2 1NY, UK. p.pucher@imperial.ac.uk.
L Michael BruntSection of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA.
Robert D FanelliDepartment of Surgery and Division of Gastroenterology, The Guthrie Clinic, Sayre, PA, USA.
Horacio J AsbunDepartment of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.
Rajesh AggarwalDepartment of Surgery, Faculty of Medicine, McGill University, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough it has been 25 years since the introduction of laparoscopy to cholecystectomy, outcomes remain largely unchanged, with rates of bile duct injury higher in the modern age than in the era of open surgery. The SAGES Safe Cholecystectomy Task Force (SCTF) initiative seeks to encourage a culture of safety in laparoscopic cholecystectomy (LC) and reduce biliary injury. An expert consensus study was conducted to identify interventions thought to be most effective in pursuit of this goal.

methodsAn initial list of items for safer practice in LC was identified by the SCTF through a nominal group technique (NGT) process. These were put forward to 407 SAGES committee members in two-stage electronically distributed Delphi surveys. Consensus was achieved if at least 80 % of respondents ranked an item as 4 or 5 on a Likert scale of importance (1-5). Additionally, respondents ranked five top areas of importance for the following domains: training, assessment, and research.

resultsThirty-nine initial items were identified through NGT. Response rates for each Delphi round were 40.2 and 34 %, respectively. Final consensus was achieved on 15 items, the majority of which related to non-technical factors in LC. Key domains for training, assessment, and research were identified. Critical view of safety was deemed most important for overall safety, as well as training and assessment of LC. Intraoperative cholangiography was identified as an additional priority area for future research.

conclusionsConsensus items to progress surgical practice, training, assessment, and research have been identified, to promote safe practice and improve patient outcomes in LC.

Indexed as

Patient SafetyBile DuctsCholecystectomy, LaparoscopicDelphi TechniqueHumansIntraoperative ComplicationsCholecystectomyConsensusExpertPatient safety

Identifiers

PMID25669635

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.