Skip to main content
padlock icon - secure page this page is secure

Randomized clinical trial of routine on‐table cholangiography during laparoscopic cholecystectomy

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.


A randomized clinical trial was undertaken to assess the utility of routine on‐table cholangiography (OTC) during laparoscopic cholecystectomy for gallstone disease.


Some 190 patients with a history of biliary colic or cholecystitis and a low predictive risk for choledocholithiasis were randomized to undergo elective laparoscopic cholecystectomy alone (99 patients) or elective laparoscopic cholecystectomy with OTC (91). Intraoperative findings and postoperative outcomes for the two groups were compared. The primary outcome measure was the incidence of common bile duct (CBD) stones.


Of the patients undergoing OTC, ten had abnormal cholangiograms; three had CBD stones and seven had abnormalities without stones. OTC was associated with a significantly longer mean(s.e.m.) operating time (66(2) versus 54(3) min; P < 0·001), but there was no association between performance of OTC and postoperative morbidity. During a 1‐year follow‐up, no patient in the OTC group re‐presented to hospital with recurrent biliary symptoms. In contrast, four of the patients allocated to surgery alone re‐presented with symptoms suggestive of CBD obstruction; all settled with conservative treatment and the difference in readmission rate was not significant (P = 0·122).


Routine cholangiography in patients with a low risk for CBD stones does not seem justified from the results of this trial. Registration number: NCT00806780 ( Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Miscellaneous

Publication date: March 1, 2011

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more