{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:57:38Z","timestamp":1790204258811,"version":"4.1.0"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die endoskopische retrograde Cholangiopankreatikografie (ERCP) wird im Zusammenhang mit\n        der Cholezystektomie (CHE) u.\u00a0a. bei Verdacht auf Gallengangssteine durchgef\u00fchrt. Die ERCP\n        ist aufgrund ihrer Invasivit\u00e4t eine endoskopische Untersuchung mit relevanter Morbidit\u00e4t und\n        Mortalit\u00e4t und kann einen Einfluss auf den perioperativen Verlauf bei CHE haben.<\/jats:p>\n                  <jats:p>Im Rahmen dieser retrospektiven und monozentrischen Studie wurden konsekutiv alle\n        Patienten von 01.07.2018 bis 31.12.2022, die sich in Baden-Baden einer CHE unterzogen,\n        untersucht. Als statistisch signifikant wurden in dieser explorativen Studie p-Werte\n        &lt;\u00a00,05 bewertet.<\/jats:p>\n                  <jats:p>Es wurden 942 Patienten mit Gallenblasenoperationen (CHE) erfasst. Davon hatten 158\n        Patienten (17%) mindestens eine pr\u00e4operative ERCP (pr\u00e4ERCP). W\u00e4hrend dieser pr\u00e4ERCP wurden\n        bei 89 Patienten (56,3%) ein oder mehrere Steine entfernt bzw. Eiter entlastet. Patienten\n        mit pr\u00e4ERCP unterschieden sich signifikant bez. OP-Verfahren (laparoskopisch, Konversion,\n        offen), OP- und Liegedauer, Notwendigkeit einer Konversion, einer operativen Revision,\n        Morbidit\u00e4t und Mortalit\u00e4t von Patienten ohne pr\u00e4ERCP. Es zeigte sich allerdings eine\n        systematische Verzerrung, d.\u00a0h. Patienten mit pr\u00e4ERCP waren signifikant \u00e4lter, h\u00e4ufiger\n        m\u00e4nnlichen Geschlechts und kr\u00e4nker (ASA-Klassifikation). Die multiplen Regressionsmodelle\n        erwiesen die pr\u00e4ERCP als signifikanten Faktor f\u00fcr Konversions- bzw. offene Cholezystektomie\n        und f\u00fcr das Auftreten von postoperativen Komplikationen nach CHE.<\/jats:p>\n                  <jats:p>Die pr\u00e4ERCP ist bei der CHE mit signifikant mehr Konversionen, verl\u00e4ngerter OP-Zeit und\n        erh\u00f6hter postoperativer Komplikationsrate assoziiert. Patienten k\u00f6nnten daher vom Mindset\n        \u201eSurgery first\u201c, also der prim\u00e4ren Cholezystektomie, profitieren.<\/jats:p>","DOI":"10.1055\/a-2557-4649","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T20:08:56Z","timestamp":1744402136000},"page":"161-167","source":"Crossref","is-referenced-by-count":1,"title":["Die endoskopische retrograde Cholangiopankreatikografie vor Gallenblasenentfernung \u2013 eine unheilige Allianz?"],"prefix":"10.1055","volume":"151","author":[{"given":"Lars","family":"Fischer","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiryl","family":"Halavach","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byulen","family":"Brahomov","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Huck","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd","family":"Kolb","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Huber","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Erhardt","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Segendorf","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Fischer","sequence":"additional","affiliation":[{"name":"Allgemein-, Viszeral- und Metabolische Chirurgie, Klinikum Mittelbaden gGmbH, Baden-Baden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Koschny","sequence":"additional","affiliation":[{"name":"Interdisziplin\u00e4res Endoskopiezentrum (IEZ), Klinik f\u00fcr Gastroenterologie, Hepatologie, Infektionskrankheiten, Vergiftungen, Medizinische Fakult\u00e4t Heidelberg, Ruprecht Karls Universit\u00e4t Heidelberg, Heidelberg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Fei\u00dft","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Medizinische Biometrie und Informatik (IMBI), Ruprecht Karls Universit\u00e4t Heidelberg, Medizinische Fakult\u00e4t Heidelberg, Heidelberg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s00104-020-01258-9","article-title":"Welcher Patient ben\u00f6tigt Laborwertkontrollen nach elektiver laparoskopischer\n          Cholezystektomie? \u2013 Kann ein Score helfen?","volume":"92","author":"L Fischer","year":"2021","journal-title":"Chirurg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.1007\/s00104-022-01713-9","article-title":"Patienten nach unauff\u00e4lliger elektiver laparoskopischer Cholezystektomie k\u00f6nnen\n          ohne Laborwertkontrollen entlassen werden \u2013 Ergebnisse einer prospektiven\n          Studie","volume":"93","author":"L Fischer","year":"2022","journal-title":"Chirurgie"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1007\/s00268-010-0908-3","article-title":"Mortality associated with the treatment of gallstone disease: a 10-year\n          contemporary national experience","volume":"35","author":"JM Scollay","year":"2011","journal-title":"World J Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1590\/S0004-2803.201900000-56","article-title":"Liver transplantation for bile duct injury after cholecystectomy","volume":"56","author":"JF Filho","year":"2019","journal-title":"Arq Gastroenterol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1007\/s13304-022-01266-w","article-title":"Laparoscopic bailout surgery effective procedure for patients with difficult\n          laparoscopic cholecystectomy","volume":"74","author":"M Shimoda","year":"2022","journal-title":"Updates Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s00268-020-05911-6","article-title":"Knowledge of the Culture of Safety in Cholecystectomy [COSIC] Among Surgical\n          Residents: Do We Train Them Well For Future Practice?","volume":"45","author":"V Gupta","year":"2021","journal-title":"World J Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1007\/s00104-023-01833-w","article-title":"Die klinische Bedeutung des \u201ecritical view of safety\u201c in der laparoskopischen\n          Gallenblasenchirurgie","volume":"94","author":"L Fischer","year":"2023","journal-title":"Chirurgie"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1001\/archsurg.2009.226","article-title":"Prospective Randomized Trial of LC+LCBDE vs ERCP\/S+LC for Common Bile Duct Stone\n          Disease","volume":"145","author":"SJ Rogers","year":"2010","journal-title":"Arch Surg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.1110242","article-title":"Comparison of different time intervals between laparoscopic cholecystectomy to\n          endoscopic retrograde cholangiopancreatography for patients with cholecystolithiasis\n          complicated by choledocholithiasis","volume":"9","author":"L Hu","year":"2022","journal-title":"Front Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"148","DOI":"10.3238\/arztebl.2020.0148","article-title":"The treatment of gallstone disease","volume":"117","author":"C Gutt","year":"2020","journal-title":"Dtsch Arztebl Int"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1055\/a-0862-0346","article-title":"Endoscopic management of common bile duct stones: European Society of\n          Gastrointestinal Endoscopy (ESGE) guideline","volume":"51","author":"G Manes","year":"2019","journal-title":"Endoscopy"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1136\/flgastro-2011-10009","article-title":"The ERCP quality network benchmarking project: a preliminary comparison of\n          practice in UK and USA","volume":"3","author":"KW Oppong","year":"2012","journal-title":"Frontline Gastroenterol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1055\/s-0042-111319","article-title":"All-cause mortality after ERCP","volume":"48","author":"E Kalaitzakis","year":"2016","journal-title":"Endoscopy"},{"key":"ref18","first-page":"65","article-title":"Risk factors for therapeutic ERCP-related complications:an analysis of 2,715 cases\n          performed by a single endoscopist","volume":"27","author":"P Katsinelosa","year":"2014","journal-title":"Ann Gastroenterol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1939","DOI":"10.1007\/s00464-019-06966-w","article-title":"ERCP-related perforations: a population-based study of incidence, mortality, and\n          risk factors","volume":"34","author":"A Langerth","year":"2020","journal-title":"Surg Endosc"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1448","DOI":"10.1177\/2050640618808157","article-title":"Performance measures for endoscopic retrograde cholangiopancreatography and\n          endoscopic ultrasound: A European Society of Gastrointestinal Endoscopy (ESGE) Quality\n          Improvement Initiative","volume":"6","author":"D Domagk","year":"2018","journal-title":"United European Gastroenterol J"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1055\/a-1220-2242","article-title":"Temporal trends and mortality of post-ERCP pancreatitis in the United States: a\n          nationwide analysis","volume":"53","author":"HR Mutneja","year":"2021","journal-title":"Endoscopy"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000001052","article-title":"Splenic Subcapsular Hematoma After Endoscopic Retrograde\n          Cholangiopancreatography","volume":"10","author":"A Boustany","year":"2023","journal-title":"ACG Case Rep J"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"E271","DOI":"10.1055\/s-0043-125145","article-title":"Etiologies and risks of splenic decapsulation after endoscopic retrograde\n          cholangiopancreatography: case report and literature review","volume":"6","author":"V Pamudurthy","year":"2018","journal-title":"Endosc Int Open"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"2585","DOI":"10.47391\/JPMA.6698","article-title":"Pneumoperitoneum: A rare life threatening complication post ERCP","volume":"72","author":"A Iqbal","year":"2022","journal-title":"Pak Med Assoc"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad298","article-title":"Incidentally portal vein penetration during cannulation in endoscopic retrograde\n          cholangiopancreatography: a case report","volume":"2023","author":"PY Lin","year":"2023","journal-title":"J Surg Case Rep"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1097\/MCG.0000000000001709","article-title":"US Nationwide Insight Into All-cause 30-day Readmissions following Inpatient\n          Endoscopic Retrograde Cholangiopancreatography","volume":"57","author":"R Dhruvil","year":"2023","journal-title":"J Clin Gastroenterol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3906\/sag-2109-84","article-title":"Predictors of postendoscopic retrograde cholangiopancreatography associated\n          cholangitis: a retrospective cohort study","volume":"52","author":"H Yilmaz","year":"2022","journal-title":"Turk J Med Sci"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1055\/a-1075-4080","article-title":"ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE)\n          Guideline","volume":"52","author":"JM Dumonceau","year":"2020","journal-title":"Endoscopy"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"141","DOI":"10.23736\/S0026-4733.20.08228-0","article-title":"Laparoscopic cholecystectomy: which predicting factors of conversion? Two Italian\n          center\u2019s studies","volume":"75","author":"S Vaccari","year":"2020","journal-title":"Minerva Chir"},{"key":"ref31","first-page":"229","article-title":"Factors affecting the conversion to open surgery during laparoscopic\n          cholecystectomy in patients with cholelithiasis undergoing ERCP due to\n          choledocholithiasis","volume":"88","author":"H Cinar","year":"2017","journal-title":"Ann Ital Chir"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"8714","DOI":"10.1007\/s00464-023-10329-x","article-title":"ERCP findings provide further justification for a \"surgery-first\" mindset in\n          choledocholithiasis","volume":"37","author":"G Sanin","year":"2023","journal-title":"Surg Endosc"},{"key":"ref34","first-page":"A1303","article-title":"Mehr Krankenh\u00e4user in roten Zahlen","volume":"117","author":"F Osterloh","year":"2020","journal-title":"Dtsch Arztebl Ausg A"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"545","DOI":"10.3238\/arztebl.m2023.0139","article-title":"Auswirkungen der Pandemie auf die Versorgung von Patientinnen und Patienten mit\n          kolorektalem Karzinom","volume":"120","author":"A Reinacher-Schick","year":"2023","journal-title":"Dtsch Arztebl Int"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1007\/s00104-017-0453-9","article-title":"Der Schatten der Transparenz \u2013 \u00dcber die Entwertung der Chirurgie durch das\n          Transparenzdiktat","volume":"88","author":"G Maio","year":"2017","journal-title":"Chirurg"},{"issue":"04","key":"ref42","doi-asserted-by":"publisher","first-page":"CD006231","DOI":"10.1002\/14651858.CD006231","article-title":"Laparoscopic versus open cholecystectomy for patients with symptomatic\n          cholecystolithiasis","author":"F Keus","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1825","DOI":"10.1111\/ans.18511","article-title":"Potentially avoidable mortality after endoscopic retrograde\n          cholangiopancreatography in Australia: an 8-year qualitative analysis","volume":"93","author":"S Jolly","year":"2023","journal-title":"ANZ J Surg"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1186\/s12871-020-01048-0","article-title":"Sedation-related complications during anesthesiologist-administered sedation for\n          endoscopic retrograde cholangiopancreatography: a prospective study","volume":"20","author":"CC Zhang","year":"2020","journal-title":"BMC Anesthesiol"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1002\/jhbp.517","article-title":"Tokyo Guidelines 2018: surgical managementofte cholecystitis: safe steps in\n          laparoscopic cholecystectomy for acute cholecystitis (with videos)","volume":"25","author":"G Wakabayashi","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.jclinepi.2022.09.009","article-title":"Logistic regression frequently outperformed propensity score methods, especially\n          for large datasets: a simulation study","volume":"152","author":"JD Wilkinson","year":"2022","journal-title":"J Clin Epidemiology"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1186\/s12893-023-02207-z","article-title":"Comparative analysis of laparoscopic choledocholithiasis and ERCP treatment after\n          cholecystectomy","volume":"23","author":"J Zhang","year":"2023","journal-title":"BMC Surg"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2557-4649.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T22:30:39Z","timestamp":1774996239000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2557-4649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,11]]},"references-count":36,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,3,31]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2557-4649","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,11]]}}}