Observational studySurgical endoscopy2025
Advantages of routine intraoperative cholangiography in a teaching hospital.
Observational study in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Mid-to-long-term follow-up study on the application of cystic duct patency test and cystic duct exploration in laparoscopic cholecystectomy for calculous cholecystitis: Xinjiang-Gu laparoscopic cystic duct exploration.Surgical endoscopy · 2026Article
- Laparoscopic management of a rare intrahepatic bile duct variation in a patient with cholelithiasis: a case report and review of the literature.BMC surgery · 2026Review
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5 authors.
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Abstract
backgroundBeing one of the most common performed procedures by a general surgeon, laparoscopic cholecystectomy (LC) is carried out daily in most surgical centers worldwide. Performing a routine intraoperative cholangiography (IOC) for visualization of the common bile duct (CBD), detection of CBD stones, and intraoperative bile duct injury (BDI) remains a much-debated topic.
methodsA retrospective observational single-center study was performed at a teaching hospital, AZ Sint-Lucas Hospital Ghent. All adult patients who underwent a laparoscopic cholecystectomy from January 2016 to April 2021 were included and received routine IOC according to a standardized protocol. Operative time, conversion rate, 30-day postoperative complications, readmissions, and length of stay (LOS) were analyzed. Cholangiography anomalies were registered, and results of the adjuvant endoscopic retrograde cholangiopancreatography (ERCP) were reported.
resultsA total of 1878 patients were enrolled in the study. A total of 4.9% complications were registered, mostly Clavien-Dindo grade 1 or 3, with 2 bile duct injuries (BDI) in the whole study population. LOS was 3.1 days on average. There were 0.91% readmissions. Common bile duct stones were detected in 6.5% of the patients during cholangiography, and this led to a same admission ERCP in 75.4%.
conclusionRoutine IOC during LC can be performed with low complication rates and possibly decreasing LOS and readmission rate. In surgical training, it may enhance understanding of bile duct anatomy, improve technical skills, and contribute to a more standardized and safer laparoscopic cholecystectomy.
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