Evidence map›Paper›PMID 25623774›Full record

Trial reportBMC surgery2015

Treatment of gallbladder stone with common bile duct stones in the laparoscopic era.

Wei-jie Zhang, Gui-fang Xu, Qin Huang, Kun-lun Luo, Zhi-tao Dong, Jie-ming Li, Guo-zhong Wu, Wen-xian Guan

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in BMC surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 7 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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  7. T-Tube Use After Laparoscopic Common Bile Duct Exploration.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
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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

8 authors at 3 institutions in 2 countries.

Wei-jie ZhangDepartment of General Surgery, the Affiliated Drum tower Hospital of Nanjing University Medical School, Nanjing, 210008, China. zhangweijie1616@163.com.
Gui-fang XuDepartment of Gastroenterology, Affiliated Drum tower Hospital of Nanjing University Medical School, Nanjing, 210008, China. guifangxu136@sina.com.
Qin HuangDepartment of Pathology and Laboratory Medicine, Veterans Affairs Boston Healthcare System and Harvard Medical School, West Roxbury, Boston, Massachusetts, 02132, USA. qinhuang0122@gmail.com.
Kun-lun LuoDepartment of General Surgery, 101st Hospital of PLA, Wuxi, Jiangsu, 214044, China. lkl197041@yahoo.com.
Zhi-tao DongDepartment of General Surgery, 101st Hospital of PLA, Wuxi, Jiangsu, 214044, China. dztdzt81@126.com.
Jie-ming LiDepartment of General Surgery, 101st Hospital of PLA, Wuxi, Jiangsu, 214044, China. mycool166@sina.com.
Guo-zhong WuDepartment of General Surgery, 101st Hospital of PLA, Wuxi, Jiangsu, 214044, China. wuguoz2011@126.com.
Wen-xian GuanDepartment of General Surgery, the Affiliated Drum tower Hospital of Nanjing University Medical School, Nanjing, 210008, China. guan-wx@163.com.
Nanjing Drum Tower Hospital · CNNanjing Medical University · CNVA Boston Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic common bile duct exploration (LCBDE) for stone can be carried out by either laparoscopic transcystic stone extraction (LTSE) or laparoscopic choledochotomy (LC). It remains unknown as to which approach is optimal for management of gallbladder stone with common bile duct stones (CBDS) in Chinese patients.

methodsFrom May 2000 to February 2009, we prospective treated 346 consecutive patients with gallbladder stones and CBDS with laparoscopic cholecystectomy and LCBDE. Intraoperative findings, postoperative complications, postoperative hospital stay and costs were analyzed.

resultsBecause of LCBDE failure,16 cases (4.6%) required open surgery. Of 330 successful LCBDE-treated patients, 237 underwent LTSE and 93 required LC. No mortality occurred in either group. The bile duct stone clearance rate was similar in both groups. Patients in the LTSE group were significantly younger and had fewer complications with smaller, fewer stones, shorter operative time and postoperative hospital stays, and lower costs, compared to those in the LC group. Compared with patients with T-tube insertion, patients in the LC group with primary closure had shorter operative time, shorter postoperative hospital stay, and lower costs.

conclusionsIn cases requiring LCBDE, LTSE should be the first choice, whereas LC may be restricted to large, multiple stones. LC with primary closure without external drainage of the CBDS is as effective and safe as the T-tube insertion approach.

Indexed as

Cholecystectomy, LaparoscopicAdultAgedChinaCholedocholithiasisFemaleGallstonesHospital CostsHumansLength of StayMaleMiddle AgedPostoperative ComplicationsProspective StudiesTreatment Outcome

Identifiers

PMID25623774
PMCPMC4417333
OpenAlexW2165368548

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.