ArticleSurgical endoscopy2016
Surgeons, ERCP, and laparoscopic common bile duct exploration: do we need a standard approach for common bile duct stones?
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Through the scope, through the years: declining trends in laparoscopic common bile duct exploration.Surgical endoscopy · 2026Article
- Feasibility and outcome of transcystic laparoscopic common bile duct exploration as first-line treatment for common bile duct stones: a retrospective cross-sectional study.Surgical endoscopy · 2025Article
- Conquering the common bile duct: outcomes in minimally invasive transcystic common bile duct exploration versus ERCP.Surgical endoscopy · 2024Article
- Moving the needle for laparoscopic common bile duct exploration: defining obstacles for the path forward.Surgical endoscopy · 2024Article
- Laparoscopic common bile duct exploration is an effective, safe, and less-costly method of treating choledocholithiasis.Surgical endoscopy · 2024Article
- Single stage laparoscopic cholecystectomy with intraoperative endoscopic retrograde cholangiopancreatography for cholecysto-choledocholithiasis. Lesson learnt from the COVID-19 pandemic.Frontiers in surgery · 2024Article
- The role of cholecystectomy following endoscopic sphincterotomy and bile duct stone removal.Annals of the Royal College of Surgeons of England · 2023Article
- A proposed difficulty grading system for laparoscopic bile duct exploration: benefits to clinical practice, training and research.Surgical endoscopy · 2023Article
- Epidemiology and outcomes of choledocholithiasis and cholangitis in the United States: trends and urban-rural variations.BMC gastroenterology · 2023Article
- Article
- Surgical resident experience with common bile duct exploration and assessment of performance and autonomy with formative feedback.World journal of emergency surgery : WJES · 2023Article
- Win or lose, nighttime transcystic laparoscopic common bile duct exploration is a win.Trauma surgery & acute care open · 2023Article
- The single-stage management of bile duct stones is underutilised: A prospective multicentre cohort study with a literature review.Annals of hepato-biliary-pancreatic surgery · 2022Article
- Inpatient Choledocholithiasis Management: a Cost-Effectiveness Analysis of Management Algorithms.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Contemporary management of concomitant gallstones and common bile duct stones: a survey of Spanish surgeons.Surgical endoscopy · 2021Article
- Comparison of Endoscopy First and Laparoscopic Cholecystectomy First Strategies for Patients With Gallstone Disease and Intermediate Risk of Choledocholithiasis: Protocol for a Clinical Randomized Controlled Trial.JMIR research protocols · 2021Article
- 3D laparoscopic common bile duct exploration versus 2D in choledocholithiasis patients: a propensity score analysis.Surgical endoscopy · 2021Article
- Single-stage management of choledocholithiasis: intraoperative ERCP versus laparoscopic common bile duct exploration.Surgical endoscopy · 2020Article
- Serum Carbohydrate Antigen 199 as a Biomarker for Evaluating Patients with Choledocholithiasis.Gastroenterology research and practice · 2020Article
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
backgroundVariation exists in the management of choledocholithiasis (CDL). This study evaluated associations between demographic and practice-related characteristics and CDL management.
methodsA 22-item, web-based survey was administered to US general surgeons. Respondents were classified into metropolitan or nonmetropolitan groups by zip code. Univariate tests and multivariable logistic regression were used to determine factors associated with CDL management preferences.
resultsThe survey was sent to 32,932 surgeons; 9902 performed laparoscopic cholecystectomy within the last year; 750 of 771 respondents had a valid US zip code and were included in the analysis. Mean practice time was 18 ± 10 years, 87% were male, and 83% practiced in a metropolitan area. For preoperatively known CDL, 86% chose preoperative endoscopic retrograde cholangiopancreatography (ERCP). Those in metropolitan areas were more likely to select preoperative ERCP than those in nonmetropolitan areas (88 vs. 79%, p < 0.001). For CDL discovered intraoperatively, 30% selected laparoscopic common bile duct exploration (LCBDE) as their preferred method of management with no difference between metropolitan and nonmetropolitan areas (30 vs. 26%, p = 0.335). The top reasons for not performing LCBDE were: having a reliable ERCP proceduralist available, lack of equipment, and lack of comfort performing LCBDE. Factors associated with preoperative ERCP were: metropolitan status, selective intraoperative cholangiography (IOC), and availability of a reliable ERCP proceduralist. Those who perform selective IOC were 70% less likely to prefer LCBDE (OR 0.32, 95% CI 0.18-0.57, p < 0.001). Those with a reliable ERCP proceduralist available were 90% less likely to prefer LCBDE (OR 0.10, 95% CI 0.04-0.26, p < 0.001).
conclusionsThe majority of respondents preferred ERCP for the management of CDL. Having a reliable ERCP proceduralist available, use of selective IOC, and metropolitan status were independently associated with preoperative ERCP. Postoperative ERCP was preferred for managing intraoperatively discovered CDL. Many surgeons are uncomfortable performing LCBDE, and increased training may be needed.
Indexed as
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26092008What OpenQuestion holds
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.