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. 2018 Apr 11;2018(4):CD010507. doi: 10.1002/14651858.CD010507.pub2

Rabago 2006.

Methods Parallel randomised controlled clinical trial
Randomisation ratio: superiority design
Participants 123 patients referred for laparoscopic cholecystectomy; mean age not reported; sex not reported; total bilirubin: intraoperative ERCP: 3.1 mg/dl (SD 2.9), pre‐operative ERCP: 2.0 mg/dl (SD 2.0); GGT: intraoperative ERCP 441 IU (SD 326 IU), pre‐operative ERCP: 334 IU (SD 281 IU)
Inclusion criteria: people with intermediate risk of choledocholithiasis; one of the following major screening criteria: recent episode of cholangitis; bilirubin level > 3.5 mg/dl, or ultrasound evidence of a shadowing object within the bile duct; or at least two of the following minor screening criteria: recent episode of acute pancreatitis, cholecystitis or jaundice; elevated liver function tests above the normal limits; or a dilated common bile duct > 8 mm on ultrasound
Exclusion criteria: age > 18 years to < 80 years
Diagnostic criteria: gallbladder and main bile duct stones were detected by transabdominal ultrasound. Computed tomography or MRCP were optional, and rarely used in either study group.
Interventions Number of study centres: one
Treatment before study: not reported
Type of interventions: 59 participants treated in a single step with videolaparoscopic cholecystectomy, intraoperative cholangiography, and endoscopic sphincterotomy during the surgical procedure with the rendezvous technique versus 64 treated with preoperative ERCP and endoscopic sphincterotomy performed using a traditional method of bile duct cannulation.
Outcomes Success rate (on an intention‐to‐treat basis), total morbidity (mild to moderate morbidity, severe morbidity), post‐ERCP morbidity (mild to moderate morbidity, severe morbidity), post‐ERCP acute pancreatitis, post‐ERCP cholecystitis, post‐ERCP cholangitis, post‐ERCP papillar bleeding, morbidity of cholecystectomy
Notes Run‐in period: from June 1999 to June 2003
Study terminated before regular end (for benefit or because of adverse events): no
Follow‐up: 24 months
Funding sources: no information reported
Declaration of interest: none declared
Country: Spain
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number generator
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants and personnel were not blinded.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not clearly stated whether the outcomes assessors were blinded to the treatments or not.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk None
Selective reporting (reporting bias) Unclear risk The study protocol was not available.
Other bias High risk The learning curve was not reported.
for‐profit bias Unclear risk Information about sponsorship or trial support not reported