03015nab a2200349 i 4500 publ24967 20230707060005.0 220829s2022 hu o 0|| Angol d 0930-2794 10.1007/s00464-022-09267-x doi 32925017 mtmt SZTE Publicatio Repozitórium hun Angol Kovács Norbert Selective intraoperative cholangiography should be considered over routine intraoperative cholangiography during cholecystectomy [elektronikus dokumentum] : a systematic review and meta-analysis / Kovács Norbert 2022 7126-7139 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 36 No. 10 Decades of debate surround the use of intraoperative cholangiography (IOC) during cholecystectomy. To the present day, the role of IOC is controversial as regards decreasing the rate of bile duct injury (BDI). We aimed to review and analyse the available literature on the benefits of IOC during cholecystectomy.A systematic literature search was performed until 19 October 2020 in five databases using the following search keys: cholangiogra* and cholecystectomy. The primary outcomes were BDI and retained stone rate. To investigate the differences between the groups (routine IOC vs selective IOC and IOC vs no IOC), we calculated weighted mean differences (WMD) for continuous outcomes and relative risks (RR) for dichotomous outcomes, with 95% confidence intervals (CI).Of the 19,863 articles, 38 were selected and 32 were included in the quantitative synthesis. Routine IOC showed no superiority compared to selective IOC in decreasing BDI (RR = 0.91, 95% CI 0.66; 1.24). Comparing IOC and no IOC, no statistically significant differences were found in the case of BDI, retained stone rate, readmission rate, and length of hospital stay. We found an increased risk of conversion rate to open surgery in the no IOC group (RR = 0.64, CI 0.51; 0.78). The operation time was significantly longer in the IOC group compared to the no IOC group (WMD = 11.25 min, 95% CI 6.57; 15.93).Our findings suggest that IOC may not be indicated in every case, however, the evidence is very uncertain. Further good quality research is required to address this question. Klinikai orvostan Németh Dávid aut Földi Mária aut Nagy Bernadette aut Bunduc Stefania aut Hegyi Péter aut Bajor Judit aut Müller Katalin Eszter aut Vincze Áron aut Erőss Bálint Mihály aut Ábrahám Szabolcs aut http://publicatio.bibl.u-szeged.hu/24967/3/32925017.pdf Dokumentum-elérés http://publicatio.bibl.u-szeged.hu/24967/1/KovacsNorbert....AbrahamSzabolcsSelectiveintraoperativecholangiographyshouldbeconsideredoverroutineintraoperativecholangiographyduringcholecystectomy.pdf Dokumentum-elérés