SynthesisSurgical endoscopy2016
One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi: a systemic review and meta-analysis.
Synthesis in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 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
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Laparoendoscopic rendezvous versus ERCP followed by laparoscopic cholecystectomy in the management of cholecystocholedocholithiasis: a systemic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Pooled it
- Pooled it
- Analysis of the effectiveness and safety of endoscopic retrograde cholangiopancreatography versus percutaneous transhepatic biliary drainage in severe acute cholangitis caused by common bile duct stones.Updates in surgery · 2026Trial
- Step-by-step laparoscopic transcystic common bile duct exploration in choledocholithiasis: technical tips, special scenarios, lessons and results from over 100 cases.Surgical endoscopy · 2026Article
- Single-stage outpatient laparoendoscopic treatment of cholecystocholedocholithiasis.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Transcystic management of choledocholithiasis: Outcomes, factors associated with bile duct injury and implications for surgical practice.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Laparoscopic common bile duct exploration is an effective, safe, and less-costly method of treating choledocholithiasis.Surgical endoscopy · 2024Article
- Delay for cholecystectomy after common bile duct clearance with ERCP is just running after recurrent biliary event.Surgical endoscopy · 2023Article
- TAVAC: choledochoscopy disposable scopes, and the single-stage vs. two-stage approach to choledocholithiasis.Surgical endoscopy · 2023Article
- Minimally invasive management of concomitant gallstones and common bile duct stones: an updated network meta-analysis of randomized controlled trials.Surgical endoscopy · 2023Review
- Comparison between Comprehensive Complication Index (CCI®) and Clavien-Dindo Classification for laparoscopic single-stage treatment of choledocholithiasis with concomitant cholelithiasis.Langenbeck's archives of surgery · 2023Article
- One-stage approach to cholecystocholedocholithiasis treatment: a feasible surgical strategy for emergency settings and frail patients.Surgical endoscopy · 2022Article
- Destiny for Rendezvous: Is Cholecysto/Choledocholithiasis Better Treated with Dual- or Single-Step Procedures?Digestive diseases and sciences · 2022Review
- Laparoscopic common bile duct exploration with primary closure is beneficial for patients with previous upper abdominal surgery.Surgical endoscopy · 2022Article
- Contemporary management of concomitant gallstones and common bile duct stones: a survey of Spanish surgeons.Surgical endoscopy · 2021Article
- Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study.Surgical endoscopy · 2021Article
- Cystic duct dilation through endoscopic retrograde cholangiopancreatography for treatment of gallstones and choledocholithiasis: Six case reports and review of literature.World journal of clinical cases · 2021Article
- Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases.Surgical endoscopy · 2021Article
- Decision analysis of minimally invasive management options for cholecysto-choledocholithiasis.Surgical endoscopy · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography (ERCP) are secure and effective techniques that recently been used to treat bile duct stones. The purpose of this research was to assess the intra-procedural efficacy and postprocedural upshots of the laparoscopic common bile duct exploration plus laparoscopic cholecystectomy (LCBDE) and ERCP plus laparoscopic cholecystectomy (ERCP + LC).
methodsAll studies contrasting one-stage (LCBDE) with two-stage (ERCP/EST + LC) managements in patients with concomitant gallstones and common bile duct (CBD) stones were included. The primary outcomes were CBD stone clearance, postoperative morbidity, and mortality, while secondary outcomes were conversion with other techniques, duration of stay in hospital, number of procedures used per patient, and operating time. Data were pooled by meta-analysis.
resultsFourteen studies with 1600 participants were identified. Each arm contains 800 participants. There is no significant difference between the two arms regarding successful CBD stone clearance (RR = 0.96, P = 0.15), mortality (RR = 1.74, P = 0.33), morbidity (RR = 0.89, P = 0.32), conversion to additional procedure (RR = 1.44, P = 0.09), operating time (MD = -1.43 min, P = 0.95), hospital stay (MD = 1.31 days, P = 0.17), and retained stone rate (RR = 1.73, P = 0.38).
conclusionsOne- and two-stage management had similar efficacy and safety in terms of CBD stone clearance rate, mortality, morbidity, operating time, hospital stay, and retained stone rate. One-stage management may reduce additional procedure.
Indexed as
Identifiers
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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.