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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Related Experiment Video

Updated: May 19, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Routine on-table cholangiography during cholecystectomy: a systematic review.

M S Sajid1, C Leaver, Z Haider

  • 1Western Sussex Hospitals NHS Trust, UK. surgeon1wrh@hotmail.com

Annals of the Royal College of Surgeons of England
|September 5, 2012
PubMed
Summary

Routine on-table cholangiography (R-OTC) offers no significant benefit over no on-table cholangiography (N-OTC) for common bile duct injury risk during cholecystectomy. N-OTC reduces operative time and complications, while R-OTC aids stone detection.

Related Experiment Videos

Last Updated: May 19, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Area of Science:

  • Surgical Innovation
  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Cholecystectomy is a common surgical procedure.
  • On-table cholangiography (OTC) is used to detect common bile duct (CBD) stones during surgery.
  • The routine use of OTC (R-OTC) versus no OTC (N-OTC) is debated.

Purpose of the Study:

  • To systematically analyze randomized trials comparing R-OTC and N-OTC efficacy in cholecystectomy patients.
  • To evaluate the impact of R-OTC on CBD injury, operative time, complications, and stone detection.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials.
  • Included trials compared R-OTC versus N-OTC in patients undergoing cholecystectomy.
  • Fixed-effects model used due to lack of significant heterogeneity.

Main Results:

  • Four trials (860 patients) were analyzed.
  • N-OTC did not increase CBD injury risk and was associated with shorter operative time and fewer complications.
  • R-OTC improved peri-operative CBD stone detection and reduced readmissions for retained stones.

Conclusions:

  • N-OTC is comparable to R-OTC regarding CBD injury risk during cholecystectomy.
  • N-OTC offers advantages in operative time and peri-operative complications.
  • R-OTC is beneficial for CBD stone detection, reducing readmissions; N-OTC may be suitable for select patients pending further validation.