Table 2.
Rate of Common Duct Injury in Cholecystectomies Performed With and Without Intraoperative Cholangiography Based on the Hospital’s Frequency of Intraoperative Cholangiography Use
| Hospital IOC Use Quartile, %a |
No. of Patients |
Rate of Common Duct Injury, No. (%) [95% CI] | P Valueb | Bonferroni Adjusted P Valueb |
||
|---|---|---|---|---|---|---|
| Overall | Without IOC | With IOC | ||||
| <11.6 | 17 869 | 53 (0.30) [0.22–0.38] | 42 (0.25) [0.18–0.33] | 11 (0.96) [0.39–1.52] | <.001 | <.001 |
| 11.6 to <28.8 | 23 150 | 66 (0.29) [0.22–0.35] | 53 (0.27) [0.20–0.35] | 13 (0.34) [0.16–0.53] | .47 | >.99 |
| 28.8 to <67.8 | 24 479 | 92 (0.38) [0.30–0.45] | 63 (0.46) [0.35–0.57] | 29 (0.27) [0.17–0.37] | .02 | .06 |
| ≥67.8 | 27 434 | 69 (0.25) [0.19–0.31] | 43 (0.76) [0.54–0.99] | 26 (0.12) [0.07–0.17] | <.001 | <.001 |
| All | 92 932 | 280 (0.30) [0.27–0.34] | 201 (0.36) [0.31–0.41] | 79 (0.21) [0.17–0.26] | <.001 | |
Abbreviation: IOC, intraoperative cholangiography.
Statistical significance of overall rates across hospital intraoperative cholangiography quartiles: P = .07.
Statistical significance of differences between cholecystectomies performed without and with intraoperative cholangiography for each strata of percentage of hospital intraoperative cholangiography use.