Evidence map›Paper›PMID 35318553›Full record

ReviewDigestive diseases and sciences2022

Destiny for Rendezvous: Is Cholecysto/Choledocholithiasis Better Treated with Dual- or Single-Step Procedures?

S Vaccari, M Minghetti, A Lauro, M I Bellini, A Ussia, S Khouzam, I R Marino, M Cervellera, V D'Andrea, V Tonini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

S VaccariDepartment of Surgical Sciences, Sapienza University, Rome, Italy.
M MinghettiEmergency Surgery Department, St. Orsola University Hospital, Bologna, Italy.
A LauroDepartment of Surgical Sciences, Sapienza University, Rome, Italy. augustola@yahoo.com.
M I BelliniDepartment of Surgical Sciences, Sapienza University, Rome, Italy.
A UssiaEmergency Surgery Department, St. Orsola University Hospital, Bologna, Italy.
S KhouzamSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
I R MarinoSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
M CervelleraDepartment of General Surgery, Ospedale Santissima Annunziata, Taranto, Italy.
V D'AndreaDepartment of Surgical Sciences, Sapienza University, Rome, Italy.
V ToniniEmergency Surgery Department, St. Orsola University Hospital, Bologna, Italy.
Sapienza University of Rome · ITThomas Jefferson University · USOspedale SS. Annunziata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biliary lithiasis is common worldwide, affecting almost 20% of the general population, though few experience symptoms. The frequency of choledocholithiasis in patients with symptomatic cholelithiasis is estimated to be 10-33%, depending on patients' age. Unlike gallbladder lithiasis, the medical and surgical treatment of common bile duct stones is uncertain, having changed over the last few years. The prior gold standard treatment for cholelithiasis and choledocholithiasis was open cholecystectomy with bile duct clearance, choledochotomy, and/or surgical sphincterotomy. In the last 10-15 years, new treatment approaches to the complex pathology of choledocholithiasis have emerged with the advent of endoscopic retrograde cholangiopancreatography (ERCP), laparoscopic surgery, and advanced diagnostic procedures. Although ERCP followed by laparoscopic cholecystectomy is the preferred mode of management, a single-step strategy (laparo-endoscopic rendezvous) has gained acceptance due to lesser morbidity and a lower risk of iatrogenic damage. Given the above, a tailored approach relying on careful evaluation of the disease is necessary in order to minimize complication risks and overall costs. Yet, the debate remains open, with no consensus on the superiority of laparo-endoscopic rendezvous to more conventional approaches.

Indexed as

Cholecystectomy, LaparoscopicCholedocholithiasisGallstonesCholangiopancreatography, Endoscopic RetrogradeHumansCholecystectomyERCPRendez-vous

Identifiers

PMID35318553
OpenAlexW4220907634

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.