SynthesisLangenbeck's archives of surgery2011
Primary closure versus T-tube drainage after common bile duct exploration for choledocholithiasis.
Synthesis in Langenbeck's archives of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Complications of biliary stenting versus T-tube insertion after common bile duct exploration: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Can T-tube drainage be replaced by primary suture technique in laparoscopic common bile duct exploration? A meta-analysis of randomized controlled trials.Langenbeck's archives of surgery · 2020Pooled it
- Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis.Surgical endoscopy · 2016Pooled it
- Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials.Langenbeck's archives of surgery · 2012Pooled it
- Two-stage vs single-stage management for concomitant gallstones and common bile duct stones.World journal of gastroenterology · 2012Pooled it
- Safety and Outcomes of Laparoscopic Common Bile Duct Exploration in Elderly Patients: A Retrospective Comparative Cohort Study From a High-Volume Specialist Centre.Journal of hepato-biliary-pancreatic sciences · 2026Article
- Surgical management of common bile duct stones following repeated endoscopic failure: A retrospective cohort study covering the pandemic period.Pakistan journal of medical sciences · 2025Article
- Textbook outcomes in the laparoscopic common bile duct exploration of choledocholithiasis: a new comprehensive quality evaluation criterion.Frontiers in surgery · 2025Article
- Article
- Comparative study of three common bile duct closure techniques after choledocholithotomy: safety and efficacy.Langenbeck's archives of surgery · 2022Article
- Outcomes of laparoscopic bile duct exploration for choledocholithiasis with small common bile duct.World journal of clinical cases · 2021Article
- Surgical (Open and laparoscopic) management of large difficult CBD stones after different sessions of endoscopic failure: A retrospective cohort study.Annals of medicine and surgery (2012) · 2019Article
- Outcomes of endoscopic sphincterotomyWorld journal of gastroenterology · 2019Article
- Learning curve for performing choledochotomy bile duct exploration with primary closure after laparoscopic cholecystectomy.Surgical endoscopy · 2018Article
- Appropriate Patient Selection Is Essential for the Success of Primary Closure After Laparoscopic Common Bile Duct Exploration.Digestive diseases and sciences · 2017Article
- Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration.Medicine · 2016Observational
- Laparoscopic cholecystectomy: consensus conference-based guidelines.Langenbeck's archives of surgery · 2015Review
- Hepatectomy with primary closure of common bile duct for hepatolithiasis combined with choledocholithiasis.World journal of gastroenterology · 2015Article
- Comparative quality of life study between endoscopic sphincterotomy and surgical choledochotomy.World journal of gastroenterology · 2014Article
- Topical nitrate drip infusion using cystic duct tube for retained bile duct stone: A six patients case series.World journal of gastrointestinal surgery · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate the benefits and harms of primary closure versus T-tube drainage after common bile duct (CBD) exploration for choledocholithiasis.
methodsA literature search of MEDLINE (PubMed), EMBASE, and the Cochrane Library was done to identify randomized controlled trials assessing the benefits and harms of primary closure versus T-tube drainage after CBD exploration from Jan. 1990 to Apr. 2010. A meta-analysis was set up to distinguish overall difference between the primary closure and the T-tube drainage group.
resultsThere were statistically significant differences between groups: biliary complications (odds ratio (OR) 95% confidence interval (CI), 0.42 (0.19-0.92); P = 0.03), main complications (OR 95% CI, 0.46 (0.23-0.90); P = 0.02), operating time (weighted mean difference (WMD) 95% CI, -19.53 (-29.35 to -9.71); P < 0.0001), and hospital stay (WMD 95% CI, -4.16 (-7.07 to -1.24); P = 0.005) except peri-operative mortality (OR 95% CI, 0.83 (0.11-6.37); P = 0.86), residual stones (OR 95% CI, 0.70 (0.22-2.25); P = 0.55), and abdominal collections (OR 95% CI, 1.93 (0.34-10.76); P = 0.46). And the result of wound infection (OR 95% CI, 0.38 (0.14-1.02); P = 0.05) tended to favor the primary closure group.
conclusionThe primary closure might be as effective as T-tube drainage after choledochotomy in the prevention of the development of post-operative complications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.