SynthesisSurgical endoscopy2022
Selective intraoperative cholangiography should be considered over routine intraoperative cholangiography during cholecystectomy: a systematic review and meta-analysis.
Synthesis in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses 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.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Intraoperative imaging of the common bile duct: a systematic review.Surgical endoscopy · 2025Pooled it
- Performance of Diagnostic Guidelines in the Evaluation of Choledocholithiasis in Patients With Acute Biliary Presentation: A Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Risk factors and mitigating measures associated with bile duct injury during cholecystectomy: meta-analysis.BJS open · 2025Pooled it
- Intraoperative Cholangiography in Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Comparative Evaluation of Standard Cholangiography, Intravenous, and Intracholecystic Indocyanine Green Fluorescence Cholangiography During Elective Laparoscopic Cholecystectomy: Results of a Three-Arm Randomized Trial.Medicina (Kaunas, Lithuania) · 2026Trial
- Statewide patterns of intraoperative cholangiography utilization during inpatient and outpatient cholecystectomy in Texas.Surgical endoscopy · 2026Article
- A History of Cholecystectomy.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Prevention of bile duct injury - A bird's eye view.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026Review
- Comparative validation of intraoperative ultrasound versus intraoperative cholangiography for the detection of choledocholithiasis.Langenbeck's archives of surgery · 2026Article
- A novel biliary-specific near-infrared fluorescent dye (BL-760) enhances visualization of the biliary tree in a swine inflammatory model of bile duct obstruction.Surgical endoscopy · 2025Article
- Observational
- Article
- A 42-Year-Old Woman with Recurrent Pancreatitis Associated with Gallstones and Phrygian Cap Gallbladder.The American journal of case reports · 2024Article
- Review
- When Critical View of Safety Fails: A Practical Perspective on Difficult Laparoscopic Cholecystectomy.Medicina (Kaunas, Lithuania) · 2023Review
- Resource use for cholecystectomy with versus without cholangiography: A multicenter, propensity-matched analysis.Surgery · 2023Article
- High rate of stone-related complications after stapling the cystic duct during laparoscopic cholecystectomy-an underrecognized risk.Surgical endoscopy · 2023Article
- Fluorescence-guided surgery: comprehensive review.BJS open · 2023Review
- Preoperative admission is non-essential in most patients receiving elective laparoscopic cholecystectomy: A cohort study.PloS one · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDecades of debate surround the use of intraoperative cholangiography (IOC) during cholecystectomy. To the present day, the role of IOC is controversial as regards decreasing the rate of bile duct injury (BDI). We aimed to review and analyse the available literature on the benefits of IOC during cholecystectomy.
methodsA systematic literature search was performed until 19 October 2020 in five databases using the following search keys: cholangiogra* and cholecystectomy. The primary outcomes were BDI and retained stone rate. To investigate the differences between the groups (routine IOC vs selective IOC and IOC vs no IOC), we calculated weighted mean differences (WMD) for continuous outcomes and relative risks (RR) for dichotomous outcomes, with 95% confidence intervals (CI).
resultsOf the 19,863 articles, 38 were selected and 32 were included in the quantitative synthesis. Routine IOC showed no superiority compared to selective IOC in decreasing BDI (RR = 0.91, 95% CI 0.66; 1.24). Comparing IOC and no IOC, no statistically significant differences were found in the case of BDI, retained stone rate, readmission rate, and length of hospital stay. We found an increased risk of conversion rate to open surgery in the no IOC group (RR = 0.64, CI 0.51; 0.78). The operation time was significantly longer in the IOC group compared to the no IOC group (WMD = 11.25 min, 95% CI 6.57; 15.93).
conclusionOur findings suggest that IOC may not be indicated in every case, however, the evidence is very uncertain. Further good quality research is required to address this question.
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