Evidence map›Paper›PMID 25722718›Full record

ArticleGastroenterology research and practice2015

Early or Delayed Intervention for Bile Duct Injuries following Laparoscopic Cholecystectomy? A Dilemma Looking for an Answer.

Evangelos Felekouras, Athanasios Petrou, Kyriakos Neofytou, Demetrios Moris, Nikolaos Dimitrokallis, Konstantinos Bramis, John Griniatsos, Emmanouil Pikoulis, Theodoros Diamantis

Open access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
2.6field-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.

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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Pooled it
  5. Review
  6. Article
  7. Outcomes of hepaticojejunostomy for post-cholecystectomy bile duct injury.The Journal of international medical research · 2023
    Article
  8. Article
  9. Iatrogenic Injury of Biliary Tree-Single-Centre Experience.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Bile duct injury outcomes following cholecystectomy: a cross sectional study.American journal of clinical and experimental immunology · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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

9 authors at 1 institution in 1 country.

Evangelos Felekouras1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.ORCID 0000-0002-2988-4116
Athanasios Petrou1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
Kyriakos Neofytou1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.ORCID 0000-0002-7937-4122
Demetrios Moris1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
Nikolaos Dimitrokallis1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
Konstantinos Bramis1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
John Griniatsos1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
Emmanouil Pikoulis1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
Theodoros Diamantis1st Department of Surgery, University of Athens Medical School, Laikon General Hospital, Agiou Thoma 17 Street, 11527 Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. To evaluate the effect of timing of management and intervention on outcomes of bile duct injury. Materials and Methods. We retrospectively analyzed 92 patients between 1991 and 2011. Data concerned patient's demographic characteristics, type of injury (according to Strasberg classification), time to referral, diagnostic procedures, timing of surgical management, and final outcome. The endpoint was the comparison of postoperative morbidity (stricture, recurrent cholangitis, required interventions/dilations, and redo reconstruction) and mortality between early (less than 2 weeks) and late (over 12 weeks) surgical reconstruction. Results. Three patients were treated conservatively, two patients were treated with percutaneous drainage, and 13 patients underwent PTC or ERCP. In total 74 patients were operated on in our unit. 58 of them underwent surgical reconstruction by end-to-side Roux-en-Y hepaticojejunostomy, 11 underwent primary bile duct repair, and the remaining 5 underwent more complex procedures. Of the 56 patients, 34 patients were submitted to early reconstruction, while 22 patients were submitted to late reconstruction. After a median follow-up of 93 months, there were two deaths associated with BDI after LC. Outcomes after early repairs were equal to outcomes after late repairs when performed by specialists. Conclusions. Early repair after BDI results in equal outcomes compared with late repair. BDI patients should be referred to centers of expertise and experience.

Identifiers

PMID25722718
PMCPMC4333332
OpenAlexW1986829272

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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.