Systematic review of intraoperative cholangiography in cholecystectomy

Ford, John; Soop, Mattias; Du, Jianlong; Loveday, Benjamin; Rodgers, Michael

doi:10.1002/bjs.7809

Cited by 194 publications

(122 citation statements)

References 41 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…In fact IOC is misinterpreted in up to 50% of cases, making the effectiveness of implementing it systematically questionable (7). A recently published systematic review displayed neither evidence in favor nor against the use of IOC (8).…”

Section: Discussionmentioning

confidence: 94%

Bile duct injuries after laparoscopic cholecystectomy: 11-year experience in a tertiary center

Martin¹,

Uldry²,

Demartines³

et al. 2016

BST

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 94%

Bile duct injuries after laparoscopic cholecystectomy: 11-year experience in a tertiary center

Martin¹,

Uldry²,

Demartines³

et al. 2016

BST

View full text Add to dashboard Cite

“…Intraoperative cholangiography also lengthens the operation time (26). On the other hand, performance and interpretation of intra-operative cholangiography should be taught to residents during their general surgery training (27)(28)(29)(30).…”

Section: D) What Is the Role Of Intraoperative Cholangiography In Lapmentioning

confidence: 99%

“…In experienced centers, laparoscopic repair of minor leaks can be performed after obtaining an intra-operative cholangiography (62). Bile duct transection should not be repaired laparoscopically as this procedure requires advanced laparoscopic skills and fine instruments.…”

Section: D) Can Biliary Injuries Be Repaired Laparoscopically?mentioning

confidence: 99%

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Abbasoğlu¹,

Tekant²,

Alper³

et al. 2016

UCD

View full text Add to dashboard Cite

Gallstone disease is very common and laparoscopic cholecystectomy is one of the most common surgical procedures all over the world. Parallel to the increase in the number of laparoscopic cholecystectomies, bile duct injuries also increased. The reported incidence of bile duct injuries ranges from 0.3% to 1.4%. Many of the bile duct injuries during laparoscopic cholecystectomy are not due to inexperience, but are the result of basic technical failures and misinterpretations. A working group of expert hepatopancreatobiliary surgeons, an endoscopist, and a specialist of forensic medicine study searched and analyzed the publications on safe cholecystectomy and biliary injuries complicating laparoscopic cholecystectomy under the organization of Turkish Hepatopancreatobiliary Surgery Association. After a series of e-mail communications and two conferences, the expert panel developed consensus statements for safe cholecystectomy, management of biliary injuries and medicolegal issues. The panel concluded that iatrogenic biliary injury is an overwhelming complication of laparoscopic cholecystectomy and an important issue in malpractice claims. Misidentification of the biliary system is the major cause of biliary injuries. To avoid this, the "critical view of safety" technique should be employed in all the cases. If biliary injury is identified intraoperatively, reconstruction should only be performed by experienced hepatobiliary surgeons. In the postoperative period, any deviation from the expected clinical course of recovery should alert the surgeon about the possibility of biliary injury.

show abstract

“…Currently, IOC is routinely performed in some centers [20][21][22] and selectively in others [23,24] , while it is easily reproducible by the majority of surgeons. Nevertheless, the definitive acceptance of one policy over another has not been confirmed [25] , with selective IOC having some advantages in terms of a shorter operating time and fewer perioperative complications but at the price ofa higher readmission rate if CBDS are subsequently detected [22] . Moreover, laparoscopic CBD exploration is becoming more popular, while intraoperative or postoperative ERCP is also safe and effective.…”

Section: Stonesmentioning

confidence: 99%

Modern approach to cholecysto-choledocholithiasis

Bencini¹

2014

WJGE

View full text Add to dashboard Cite

Gallstones and common bile duct calculi are found to be associated in 8%-20% of patients, leading to possible life-threatening complications, such as acute biliary pancreatitis, jaundice and cholangitis. The gold standard of care for gallbladder calculi and isolated common bile duct stones is represented by laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography, respectively, while a debate still exists regarding how to treat the two diseases at the same time. Many therapeutic options are also available when the two conditions are associated, including many different types of treatment, which local professionals often administer. The need to limit maximum discomfort and risks for the patients, combined with the economic pressure of reducing costs and utilizing resources, favors single-step procedures. However, a multitude of data fail to strongly demonstrate the superiority of any technique (including a two or multi-step approach), while rigorous clinical trials that include so many different types of treatment are still lacking, and it is most likely unrealistic to conduct them in the future. Therefore, the choice of the best management is often led by the local presence of professional expertise and resources, rather than by a real superiority of one strategy over another.

show abstract

Systematic review of intraoperative cholangiography in cholecystectomy

Cited by 194 publications

References 41 publications

Bile duct injuries after laparoscopic cholecystectomy: 11-year experience in a tertiary center

Bile duct injuries after laparoscopic cholecystectomy: 11-year experience in a tertiary center

Prevention and acute management of biliary injuries during laparoscopic cholecystectomy: Expert consensus statement

Modern approach to cholecysto-choledocholithiasis

Contact Info

Product

Resources

About