Evidence map›Paper›PMID 31428853›Full record

ArticleSurgical endoscopy2020

Laparoendoscopic rendezvous versus ERCP followed by laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis: a retrospectively cohort study.

Yawei Qian, Jianglin Xie, Ping Jiang, Yuchun Yin, Quan Sun

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  8. Gallstones and common bile duct stones management: Single-stageWorld journal of gastrointestinal endoscopy · 2025
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  12. Comparing One-Stage vs Two-Stage Approaches for the Management of Choledocholithiasis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Review
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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

5 authors at 1 institution in 1 country.

Yawei QianDepartment of Hepato-Biliary Pancreatic Surgery, Zhongnan Hospital of Wuhan University, East lake Road 169, Wuhan, 430070, Hubei, People's Republic of China.
Jianglin XieDepartment of Hepato-Biliary Pancreatic Surgery, Zhongnan Hospital of Wuhan University, East lake Road 169, Wuhan, 430070, Hubei, People's Republic of China.
Ping JiangDepartment of Hepato-Biliary Pancreatic Surgery, Zhongnan Hospital of Wuhan University, East lake Road 169, Wuhan, 430070, Hubei, People's Republic of China.
Yuchun YinDepartment of Hepato-Biliary Pancreatic Surgery, Zhongnan Hospital of Wuhan University, East lake Road 169, Wuhan, 430070, Hubei, People's Republic of China.
Quan SunDepartment of Hepato-Biliary Pancreatic Surgery, Zhongnan Hospital of Wuhan University, East lake Road 169, Wuhan, 430070, Hubei, People's Republic of China. zhongnanpuwai@163.com.
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are a variety of strategies for the treatment of patients with cholecysto-choledocholithiasis (CCL). Although the surgical approach of choice is preoperative ERCP and laparoscopic cholecystectomy (ERCP + LC), controversy remains regarding which procedure is optimal for CCL.

methodsTo evaluate the safety and effectiveness of laparoendoscopic rendezvous (LERV) versus ERCP + LC for CCL, a total of 528 patients with CCL were retrospectively studied from January 2013 to December 2018. The patients were scheduled to undergo either the LERV or ERCP + LC procedure. The LERV group included 123 cases, whereas the ERCP + LC group contained 137 cases. The incidence of postoperative complications, success of stone clearance, length of hospital stay, and hospitalization charges were statistically analyzed.

resultsThe incidence of pancreatitis was lower in the LERV group than in the ERCP + LC group (3/123 vs. 12/137, P = 0.0291). The median level of post-ERCP amylase was much lower in the LERV group (202.5 U/dL vs. 328.1 U/dL, P < 0.01). However, there was no significant difference in the stone clearance rate or other early complications between the two groups. Further study showed that the length of hospital stay and cost in the LERV group were less than those in the ERCP + LC group (12 days vs. 18 days, P < 0.01; 53591.4¥ vs. 60089.2¥, P < 0.01). In addition, more patients in the two-stage procedure group experienced later biliary complications compared with those in the one-stage approach group (34/137 vs. 4/123, P < 0.05). However, the median operation time was 107.7 min in the two-stage group and 139.8 min in the one-stage group (P < 0.05).

conclusionsThe LERV technique is a safe and effective approach for CCL with lower pancreatitis; it was associated with few later biliary complications, shortened hospital stays, and fewer charges but significantly longer operative time.

Indexed as

AdultCholangiopancreatography, Endoscopic RetrogradeCholecystectomy, LaparoscopicCholecystolithiasisCholedocholithiasisFemaleHumansIncidenceLaparoscopyLength of StayMaleMiddle AgedOperative TimePancreatitisPostoperative ComplicationsRetrospective StudiesCholecysto-choledocholithiasisLaparoendoscopic rendezvousOutcomes

Identifiers

PMID31428853
OpenAlexW2969674495

What OpenQuestion holds

Textmetadata
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.