Table 2.
Summary of Included Studies – Routine and Selective Intraoperative Cholangiography (IOC) Use in Laparoscopic Cholecystectomy
Author, Year of publication, country | Study Design | Study period | Policy of IOC | Incidence of BDI with and without IOC | IOC policy | Number of patients | Conversions to open | Patient demographics | Outcomes | ||
---|---|---|---|---|---|---|---|---|---|---|---|
BDI | CBD stone detection incidence | Missed stones | |||||||||
Amott, 2005, Australia43 | Prospective Randomized study | 1995 – 2002 | Routine and Selective | Routine: 0.68% | Routine | 148 | nil | NR | 1/148 | 12/94 | 3/152 |
Selective 0.65% | Selective | 155 | nil | NR | 1/155 | 5/34 | 5/163 | ||||
Carlson, 1993, USA44 | Prospective study | Not stated | Routine and Selective | Routine: 0.61% | Routine | 164 | nil | NR | 1/164 | NR | 0/164 |
Selective: 0% | Selective | 155 | nil | NR | 0/155 | NR | 1/155 | ||||
Guerra-Filho, 2007, Brazil17 | Prospective study | 1992 – 1994 | Routine and selective | Not recorded | Routine | 127 | nil | Mean age = 48.8 (13 – 83) years, M:F ratio = 1:3 approximately | NR | 11/102 | NR |
Selective | 127 | nil | Mean age = 47.9 (12 – 91) years, M:F ratio = 1:3 approximately | NR | 7/59 | NR | |||||
Kohn, 2004, USA18 | Retrospective study | 1999 – 2000 | Routine and Selective | Not recorded | Routine | 38 | 0/38 | Mean age = 49 years, M:F ratio = 12:27 | NR | 5/38 | 0/38 |
Selective | 112 | 20/112 | Mean age = 47 years, M:F ratio = 43:69 | NR | 5/28 | 5/112 | |||||
Ladosci, 1997, England16 | Randomized trial | 1991 – 1993 | Routine and Selective | Routine: 0.36%Selective: 0% | Routine | 276 | 19/276 | Mean age = 48.1 ± 16.4 years, M:F ratio = 24.6:73.6 | 1/276 | 13/187 | 0/276 |
Selective | 458 | 15/458 | Mean age = 49 ± 16.3 years, M:F ratio = 1:3 approximately | 0/458 | 8/78 | 0/458 | |||||
Nickkholgh, 2006, Iran2 | Retrospective study | 1992 – 2001 | Routine and Selective | Routine: 0%Selective: 0.25% | Routine | 1330 | 61 total, not described which group | NR | 0/1330 | 37/1330 | 2/1330 |
Selective | 800 | NR | 2/800 | 9/159 | 9/800 | ||||||
Snow, 2001, USA45 | Retrospective study | 1989 – 1998 | Routine and Selective | 0% both | Routine | 1522 | nil | NR | 0/1522 | 136/1517 | 42/1522 |
Selective | 139 | nil | NR | 0/487 | 0/138 | 0/487 |
Abbreviations: IOC, Intraoperative Cholangiography; BDI, bile duct injury; CBD, common bile duct.