{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T22:22:15Z","timestamp":1749334935165},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T00:00:00Z","timestamp":1573776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"agencies in the public, commercial, or not-for-profit sectors","award":["NCT 03817723"],"award-info":[{"award-number":["NCT 03817723"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>This study aimed to determine the exposure to radiation delivered to the patient during routine intraoperative cholangiography (IOC) in cholecystectomy and examine the factors affecting radiation dose and fluoroscopy time (FT). From January 2016 to December 2017, 598 IOC examinations were performed. This study included 324 intraoperative cholangiographies performed with c-arm equipment not exceeding 10\u00a0years of age. When residents performed the procedures, the mean kerma area product (KAP) was 0.36 (standard deviation [SD] 0.70) Gycm 2 and in specialist surgeons group 0.36 (SD 0.47) Gycm2, P\u00a0=\u00a00.47. In residents group, the mean FT was 11.4 (SD 10.1) seconds and in specialist surgeons group, 9.2 (SD 11.9) seconds, P\u00a0&amp;lt;\u00a00.01. Linear regression analysis showed association between increased KAP-values and the presence of common bile duct (CBD) stones and body mass index (BMI). Age, BMI, laparoscopic surgery, acute cholecystitis, presence of CBD stones, resident surgeon performing IOC and ASA III\u2013IV were associated with higher FT. National diagnostic reference level for IOC has not been introduced in Finland so far. Our mean KAP values (0.36\u00a0Gycm2) were 3\u20134 times lower and FT (10.1\u00a0seconds) were 3\u20135 times lower than the few reported in the literature. Routine use of IOC during cholecystectomy results in relatively low-radiation dose performed either by residents or specialist surgeons, irrespective of whether CBD stones were visualized or not.<\/jats:p>","DOI":"10.1093\/rpd\/ncz262","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T19:24:04Z","timestamp":1569957844000},"page":"73-78","source":"Crossref","is-referenced-by-count":2,"title":["INTRAOPERATIVE CHOLANGIOGRAPHY DURING CHOLECYSTECTOMY RESULTS IN LOW EXPOSURE TO RADIATION: A RETROSPECTIVE COHORT STUDY"],"prefix":"10.1093","volume":"188","author":[{"given":"Anne","family":"Mattila","sequence":"first","affiliation":[{"name":"Department of Surgery, Central Finland Central Hospital, Keskussairaalantie 19, Jyv\u00e4skyl\u00e4 40620, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heli","family":"Larjava","sequence":"first","affiliation":[{"name":"Department of Surgery, Central Finland Central Hospital, Keskussairaalantie 19, Jyv\u00e4skyl\u00e4 40620, Finland"},{"name":"Department of Medical Imaging, Central Finland Central Hospital, Keskussairaalantie 19, Jyv\u00e4skyl\u00e4 40620, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olli","family":"Helminen","sequence":"first","affiliation":[{"name":"Department of Surgery, Central Finland Central Hospital, Keskussairaalantie 19, Jyv\u00e4skyl\u00e4 40620, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matti","family":"Kairaluoma","sequence":"first","affiliation":[{"name":"Department of Surgery, Central Finland Central Hospital, Keskussairaalantie 19, Jyv\u00e4skyl\u00e4 40620, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,11,15]]},"reference":[{"key":"2020061308132385700_ref1","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.jamcollsurg.2011.03.004","article-title":"Lower rate of major bile duct injury and increased intraoperative management of common bile duct stones after implementation of routine intraoperative cholangiography","volume":"213","author":"Buddingh","year":"2011","journal-title":"J. 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