{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T02:42:58Z","timestamp":1789699378611,"version":"4.0.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T00:00:00Z","timestamp":1430179200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Whether intraoperative cholangiography can prevent iatrogenic bile duct injury during cholecystectomy remains controversial.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data from the national Swedish Registry for Gallstone Surgery, GallRiks (May 2005 to December 2010), were analysed for evidence of iatrogenic bile duct injury during cholecystectomy. Patient- and procedure-related risk factors for bile duct injury with a focus on the rate of intended intraoperative cholangiography were analysed using multivariable logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 51 041 cholecystectomies and 747 bile duct injuries (1\u00b75 per cent) were identified; 9008 patients (17\u00b76 per cent) were diagnosed with acute cholecystitis. No preventive effect of intraoperative cholangiography was seen in uncomplicated gallstone disease (odds ratio (OR) 0\u00b797, 95 per cent c.i. 0\u00b774 to 1\u00b725). Operating in the presence (OR 1\u00b723, 1\u00b703 to 1\u00b747) or a history (OR 1\u00b734, 1\u00b710 to 1\u00b764) of acute cholecystitis, and open surgery (OR 1\u00b756, 1\u00b726 to 1\u00b794), were identified as significant risk factors for bile duct injury. The intention to perform intraoperative cholangiography was associated with a reduced risk of bile duct injury in patients with concurrent (OR 0\u00b744, 0\u00b730 to 0\u00b763) or a history of (OR 0\u00b759, 0\u00b735 to 1\u00b700) acute cholecystitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Any proposed protective effect of intraoperative cholangiography was restricted to patients with (or a history of) acute cholecystitis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9832","type":"journal-article","created":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T11:03:07Z","timestamp":1430218987000},"page":"952-958","source":"Crossref","is-referenced-by-count":96,"title":["Selective intraoperative cholangiography and risk of bile duct injury during cholecystectomy"],"prefix":"10.1093","volume":"102","author":[{"given":"B","family":"T\u00f6rnqvist","sequence":"first","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Surgery, Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Str\u00f6mberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Surgery, Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Akre","sequence":"additional","affiliation":[{"name":"Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Enochsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Surgery, Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology, Division of Surgery, Solna, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,4,28]]},"reference":[{"key":"2021021717575023700_bjs9832-bib-0001","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/j.cgh.2009.05.014","article-title":"Long-term effects of iatrogenic bile duct injury during cholecystectomy","volume":"7","author":"T\u00f6rnqvist","year":"2009","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2021021717575023700_bjs9832-bib-0002","doi-asserted-by":"crossref","first-page":"e6457","DOI":"10.1136\/bmj.e6457","article-title":"Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: 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