ArticleBMC surgery2017
Risk factors for bile leakage after primary closure following laparoscopic common bile duct exploration: a retrospective cohort study.
Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.
- Greater than or equal to 8 mm is a safe diameter of common bile duct for primary duct closure: single-arm meta-analysis and systematic review.Clinical journal of gastroenterology · 2022Pooled it
- Comparison of modified versus conventional laparoscopic transcystic biliary drainage in the management of cholecystocholedocholithiasis: safety and efficacy.Updates in surgery · 2026Article
- Sequential comparison of single-stage laparoscopic common bile duct exploration combined with cholecystectomy.Updates in surgery · 2026Article
- Safety and outcomes of laparoscopic bile duct exploration: a UK-wide multi-centre study (R-ALiCE).Surgical endoscopy · 2026Article
- Primary Barbed Suture Versus T-Tube Drainage After Laparoscopic Common Bile Duct Exploration: A Randomized Controlled Trial.Health science reports · 2026Article
- Risk factors for bile leakage following laparoscopic cyst excision and hepaticojejunostomy in pediatric choledochal cysts: a retrospective case-control study.Surgical endoscopy · 2026Article
- Clinical application of a self- dislodging biliary stent for one-stage suturing following choledochotomy.Langenbeck's archives of surgery · 2025Article
- Primary closure with self-disengaging biliary stent following laparoscopic CBD exploration in normal-diameter ducts: a propensity score matching study.Scientific reports · 2025Article
- Risk factors for bile leakage after laparoscopic common bile duct exploration in older patients with choledocholithiasis.World journal of gastrointestinal surgery · 2025Article
- Article
- Textbook outcomes in the laparoscopic common bile duct exploration of choledocholithiasis: a new comprehensive quality evaluation criterion.Frontiers in surgery · 2025Article
- Is an 8 mm cutoff necessary when performing primary common bile duct closure after laparoscopic common bile duct exploration?Pakistan journal of medical sciences · 2024Article
- The safety and efficacy of primary duct closure after laparoscopic common bile duct exploration in patients with mild-to-moderate calculus-associated acute cholangitis: a retrospective cohort study.Updates in surgery · 2024Article
- Review
- The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis.Clinical case reports · 2024Article
- Surgical strategies for challenging common bile duct stones in the endoscopic era: A comprehensive review of current evidence.World journal of gastrointestinal endoscopy · 2024Review
- Laparoscopic radical antegrade modular pancreatosplenectomy (RAMPS) for adenocarcinoma of the body and tail of the pancreas - technical considerations with analysis of surgical outcomes.Langenbeck's archives of surgery · 2024Article
- Laparoscopic common bile duct exploration with primary closure could be safely performed among elderly patients with choledocholithiasis.BMC geriatrics · 2023Article
- Safety and Feasibility of Primary Closure Following Laparoscopic Common Bile Duct Exploration for Treatment of Choledocholithiasis.World journal of surgery · 2023Article
- Efficacy and safety of laparoscopic common bile duct exploration with primary closure and intraoperative endoscopic nasobiliary drainage for choledocholithiasis combined with cholecystolithiasis.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary closure following laparoscopic common bile duct exploration (LCBDE) has been widely adopted because of the efficacy and safety in treatment of common bile duct (CBD) stones. However, the risk factors for bile leakage, the most common complication after primary closure, has not been clarified yet.
methodsA retrospective cohort study of patients who underwent LCBDE with primary closure after choledochotomy between Feb. 2012 and Jun. 2016 was performed. Risk factors for bile leakage were identified by logistic regression inculding demographic factors, preoperative condition and surgical details.
resultsBetween Feb. 2012 and Jun. 2016, a total of 265 LCBDE procedures were applied in our hospital and 141 patients with primary closure were included in this study. Bile leakage occurred in 11.3% (16/141) of these patients, and happened more frequently in patients with slender CBD (<1 vs ≥1 cm, 31.6% vs 7.0%, p = 0.04) and those managed by inexperienced surgeons (initial 70 cases vs later cases, 17.1% vs 5.6%, p = 0.04). After multivariable regression, the diameter of CBD [OR 95% CI, 3.799 (1.081-13.349), p = 0.04] and experience of surgeons [OR 95% CI, 4.228 (1.330-13.438), p = 0.03] were significantly related to bile leakage.
conclusionSlender CBD and inexperienced surgeons were the high risk factors for bile leakage after primary closure following LCBDE.
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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.