Evidence map›Paper›PMID 22086256›Full record

ArticleWorld journal of surgery2012

Primary closure following laparoscopic common bile duct exploration combined with intraoperative cholangiography and choledochoscopy.

Huihua Cai, Donglin Sun, Yueming Sun, Jianfeng Bai, Hanlin Zhao, Yi Miao

Registry-linked trialOpen access · hybridAbstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07331142 (Efficacy and Safety of Prophylactic Biliary Stenting After Complete Common Bile Duct Stone Clearance Before Cholecystectomy), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07331142 nacompletednot on this mapstarted 2024, after this paper: background citation

Efficacy and Safety of Prophylactic Biliary Stenting After Complete Common Bile Duct Stone Clearance Before Cholecystectomy: A Randomized Controlled Trial

TypeinterventionalSponsorNational Liver Institute, EgyptRan2024 to 2025Enrolled200ConditionsCholedocholithiasisArmsTemporary Plastic Biliary Stent Placement, Endoscopic Retrograde Cholangiopancreatography with Stone Clearance
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  4. T-Tube Use After Laparoscopic Common Bile Duct Exploration.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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  8. Is T-tube drainage no longer needed for laparoscopic common bile duct exploration? A retrospective analysis and literature review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Huihua CaiDepartment of Laparoscopic Treatment Center, The First People's Hospital of Changzhou, 3rd Hospital Affiliated to Soochow University, 185 Juqian Street, Changzhou 213003, Jiangsu, China.
Donglin Sun
Yueming Sun
Jianfeng Bai
Hanlin Zhao
Yi Miao
Nanjing Medical University · CNSoochow University · CNThe First People's Hospital of Changzhou · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic common bile duct exploration (LCBDE) has become one of the main options for treating choledocholithiasis associated with cholelithiasis. Our objective was to assess the short-term outcomes of patients undergoing laparoscopic primary closure of the common bile duct (CBD) compared with laparoscopic choledochotomy plus T-tube drainage.

methodsWe retrospectively studied 137 patients undergoing primary closure following LCBDE (group A) compared with 102 cases with laparoscopic choledochotomy plus T-tube drainage (group B) between January 2007 and January 2010. Intraoperative cholangiography (IOC) and choledochoscopy were performed in all patients.

resultsThree patients in group A (2.2%) were converted to open surgery and two (2.0%) in group B because of serious adherence. According to routine IOC, unexpected CBD stones were found in 16 cases (6.8%). The duration of the operation in group A was shorter than in group B (92.4 ± 15.2 vs. 125.7± 32.6 min, P < 0.05), as was length of postoperative stay (3.1± 2.4 vs. 5.7± 4.3 days, P < 0.05). Postoperative bile leakage occurred in six patients (4.5%) in group A and four cases (4.0%) in group B; all of the patients recovered after simple drainage without reoperation. Bile peritonitis was seen in one case after T-tube removal. The median follow-up was 26 months. There were no recurrences.

conclusionsLaparoscopic primary closure of the CBD is safe and successful for the management of CBD stones. Application of IOC and choledochoscopy to ensure clearance of the CBD and careful suturing are essential for primary closure.

Indexed as

CholangiographyWound Closure TechniquesAdultAgedAged, 80 and overCholecystectomy, LaparoscopicCholedocholithiasisCholedochostomyDrainageFeasibility StudiesFemaleFollow-Up StudiesHumansLength of StayMaleMiddle Aged

Identifiers

PMID22086256
OpenAlexW2049233407

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.