SynthesisSurgical endoscopy2026
SAGES-AHPBA 2025 guideline for the surgical management of bile duct injury following cholecystectomy.
Synthesis in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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
3 citing papers in PubMed.
- Surgeons and Experts' Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey.Obesity surgery · 2026Article
- Article
- Seeing beyond white light: fluorescence for safer laparoscopic cholecystectomy.Frontiers in surgery · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
24 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBile duct injury (BDI) following cholecystectomy is a complication associated with significant morbidity and mortality. This guideline addresses timing and type of repair following injury to improve patient outcomes and surgical decision-making. METHODOLOGY: A systematic review was carried out, including a literature search up to December 31, 2024 addressing four key questions regarding the definitive repair of BDI following cholecystectomy. The findings were subsequently presented to a panel of surgeons from both the Society of American Gastrointestinal and Endoscopic Surgeons and the American (SAGES) and the Americas Hepato-Pancreato-Biliary Association (AHPBA). Subject matter experts then used the GRADE methodology to develop evidence-based recommendations.
resultsA conditional recommendation, with low certainty of evidence, in favor of delayed (> 6 weeks) versus early definitive repair (< 6 weeks) of BDI was made. A conditional recommendation for either minimally invasive or open repair was made based on very low certainty of evidence. A conditional recommendation was made for either the nonoperative or operative definitive repair of BDI based on very low certainty of evidence. Finally, a conditional recommendation was made for either hepaticoduodenostomy or hepaticojejunostomy as a bilioenteric anastomosis approach following BDI based on very low certainty of evidence.
conclusionThese recommendations provide guidance for the approach to repair of BDI following cholecystectomy according to the existing literature and expert input. The panel also highlighted evidence gaps to support future research for a stronger evidence base around BDI repair.
Indexed as
Identifiers
41266841What 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.