Evidence map›Paper›PMID 27411676›Full record

ArticleBMC surgery2016

Elective laparoscopic cholecystectomy without intraoperative cholangiography: role of preoperative magnetic resonance cholangiopancreatography - a retrospective cohort study.

Jinfeng Zang, Yin Yuan, Chi Zhang, Junye Gao

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 8% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Improved outcomes for index cholecystectomy for acute cholecystitis following a dedicated emergency surgery and trauma service (ESAT).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  9. Review
  10. Preoperative magnetic resonance cholangiopancreatography before planned laparoscopic cholecystectomy: is it necessary?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2019
    Article
  11. Article
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

4 authors at 1 institution in 1 country.

Jinfeng ZangDepartment of Hepatobiliary Surgery, Taizhou People's Hospital, No. 210, Yingchun Road, Taizhou, 225300, Jiangsu Province, China. xkfy1979@126.com.ORCID http://orcid.org/0000-0002-0691-9224
Yin YuanDepartment of Hepatobiliary Surgery, Taizhou People's Hospital, No. 210, Yingchun Road, Taizhou, 225300, Jiangsu Province, China.
Chi ZhangDepartment of Hepatobiliary Surgery, Taizhou People's Hospital, No. 210, Yingchun Road, Taizhou, 225300, Jiangsu Province, China.
Junye GaoDepartment of Hepatobiliary Surgery, Taizhou People's Hospital, No. 210, Yingchun Road, Taizhou, 225300, Jiangsu Province, China.
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic cholecystectomy (LC) is the standard treatment for gallbladder diseases. Intraoperative cholangiography (IOC) can reduce biliary complications of LC; however, with the emergence of magnetic resonance cholangiopancreatography (MRCP), IOC nowadays is faced with unprecedented challenge. The purpose of this study is to evaluate whether preoperative MRCP can safely replace IOC during elective LC in terms of retained common bile duct (CBD) stones and bile duct injury (BDI).

methodsA retrospective study on candidates for elective LC who underwent IOC or preoperative MRCP between January 2009 and December 2014 was conducted.

resultsIn the IOC group, 1972 patients underwent LC and 213 required IOC. In the MRCP group, 2268 patients underwent LC and 257 required MRCP. In the IOC group, the rate of retained CBD stones was 0.45 % without IOC and 1.41 % with IOC. In five of 157 patients who underwent IOC, endoscopic retrograde cholangiopancreatography or laparoscopic CBD exploration showed no evidence of CBD stones. In the MRCP group, the rate of retained CBD stones was 0.45 % without MRCP. No patients with normal MRCP findings returned with symptomatic CBD stones during 1-year follow-up. The rate of BDIs was 0.20 % in the IOC group and 0.13 % in the MRCP group.

conclusionsSelective use of preoperative MRCP is an effective and safe strategy when conducting elective LC to treat gallstones. LC resorting to preoperative MRCP can be performed safely without IOC, with an acceptable rate of retained CBD stones and BDIs.

Indexed as

CholangiographyCholangiopancreatography, Magnetic ResonanceCholecystectomy, LaparoscopicAdultAgedAged, 80 and overElective Surgical ProceduresFemaleGallstonesHumansMaleMiddle AgedRetrospective StudiesBile duct injuryCommon bile duct stonesIntraoperative cholangiographyLaparoscopic cholecystectomyMagnetic resonance cholangiopancreatography

Identifiers

PMID27411676
PMCPMC4944431
OpenAlexW2473391131

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.