Evidence map›Paper›PMID 40935939›Full record

GuidelineSurgical endoscopy2025

SAGES guidelines for the use of intraoperative imaging of the common bile duct.

Sunjay K Kumar, Dena G Shehata, Lawrence N Cetrulo, Romeo Ignacio, Jeffrey Chiu, Brain R Davis, Marian McDonald, Matthew B Bloom, Subhashini Ayloo, Ali Kchaou and 9 more

Erratum issuedAbstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Sunjay K Kumar *Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Dena G Shehata *Department of Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA. dena.g.shehata@gmail.com.
Lawrence N CetruloDepartment of Surgery, University of Washington School of Medicine, Seattle, USA.
Romeo IgnacioDivision of Pediatric Surgery, Department of Surgery, San Diego School of Medicine, University of California, California, CA, USA.
Jeffrey ChiuDepartment of Surgery, AdventHealt, Orlando, FL, USA.
Brain R DavisDepartment of Surgery, Christus Trinity Clinic, Corpus Christi, TX, USA.
Marian McDonaldUniversity of Pennsylvania, Philadelphia, PA, USA.
Matthew B BloomDepartment of Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Subhashini AylooDepartment of Surgery, Aleda E. Lutz VA Medical Center, Saginaw, MI, USA.
Ali KchaouDepartment of General and Digestive Surgery, Faculty of Medicine, Habib Bourguiba Hospital, University of Sfax, Sfax, Tunisia.
Georgios OrthopoulosDepartment of Surgery, Beth Israel Lahey Health -Winchester Hospital, Winchester, MA, USA.
Philip H PucherPortsmouth Hospitals University NHS Trust, Portsmouth, UK.
Uretz OliphantCarle Foundation Hospital, Urbana, IL, USA.
Peter T HallowellDivision of General Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.
Federico SerrotDepartment of Surgery, Cleveland Clinic Florida, Weston, FL, USA.
David OverbyDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Eduardo Moreno-PaquentinDepartment of Surgery, ABC Medical Center, Mexico City, Mexico.
Bethany J SlaterDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Emily MiraflorDepartment of Surgery, University of California-East Bay, Oakland, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are multiple intraoperative imaging techniques used to increase safety during laparoscopic cholecystectomy, including intraoperative cholangiography (IOC), fluorescence imaging (FI) with indocyanine green (ICG), and laparoscopic ultrasound (LUS). This guideline addresses the optimal intraoperative imaging technique during laparoscopic cholecystectomy for benign biliary disease.

methodsA systematic review was conducted to address five key questions regarding the use of intraoperative imaging of the common bile duct. These results were then presented to a panel of practicing surgeons who formulated recommendations based on the best available evidence.

resultsConditional recommendations were made in favor of performing IOC in adult and pediatric patients and doing so routinely rather than selectively, IOC rather than FI with ICG, and either IOC or LUS.

conclusionsThese recommendations should provide guidance regarding the use of intraoperative imaging techniques during laparoscopic cholecystectomy. This guideline also identifies important areas where the future research should focus to strengthen the evidence base.

Indexed as

Cholecystectomy, LaparoscopicCommon Bile DuctAdultCholangiographyHumansIndocyanine GreenIntraoperative CareOptical ImagingIndocyanine GreenCommon bile duct injuryFluorescence imagingGuidelineIntraoperative cholangiographyLaparoscopic ultrasound

Identifiers

PMID40935939

What OpenQuestion holds

Textmetadata
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.