Evidence map›Paper›PMID 35786738›Full record

ArticleLangenbeck's archives of surgery2022

Comparative study of three common bile duct closure techniques after choledocholithotomy: safety and efficacy.

Mohammed Ahmed Omar, Alaa Ahmed Redwan, Marwa Nasrelden Alansary

Registry-linked trialOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04264299 (Comparative Study of Three Common Bile Duct Closure Techniques After Choledocholithotomy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT04264299 nacompletednot on this map

Comparative Study of Three Common Bile Duct Closure Techniques After Choledocholithotomy: Safety and Efficacy

TypeinterventionalSponsorSouth Valley UniversityRan2017 to 2021Enrolled211ConditionsCommon Bile Duct ClosureArmsT tube drainage, Primary closure, Antegrade stenting
3 · Its place in the literature

Who cites it

5 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

3 authors at 2 institutions in 1 country.

Mohammed Ahmed OmarGeneral Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt. mohamed_ali@med.svu.edu.eg.ORCID http://orcid.org/0000-0002-2736-8097
Alaa Ahmed RedwanGeneral Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt.
Marwa Nasrelden AlansaryAnesthesia and Intensive Care Department, Qena Faculty of Medicine, South Valley University, Qena, Egypt.ORCID http://orcid.org/0000-0002-5650-0376
South Valley University · EGSohag University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeT-tube drainage, primary closure, and biliary stenting are the common bile duct closure methods. There is great debate on the optimal duct closure technique after common bile duct exploration. This study aimed to assess the safety and efficacy of the three commonest common bile duct closure methods after common bile duct exploration for common bile duct stone for future generalization.

methodsIn this analysis, 211 patients with common bile duct stone underwent common bile duct exploration from January 2016 to December 2020. The patients were divided according to common bile duct closure techniques into three groups, including the T-tube drainage group (63 patients), primary duct closure group (61 patients), and antegrade biliary stenting group (87 patients).

resultsThe incidence of overall biliary complications and bile leak were statistically significantly lower in the biliary stenting group than in the other two groups. Also, hospital stays, drain carried time, return to normal activity, re-intervention, and re-admission rates were statistically significantly lower in the biliary stenting group than in the other two groups. There were no statistically significant differences regarding operative and choledochotomy time, retained and recurrent stone, stricture, biliary peritonitis, cholangitis, and the cost among the three groups.

conclusionsWe state that the biliary stenting procedure should be the preferred first option for common bile duct closure after common bile duct exploration when compared with T-tube drainage and primary duct closure.

trial registrationClinicalTrials.gov PRS (Approval No. NCT04264299).

Indexed as

CholedocholithiasisGallstonesLaparoscopyCholedochostomyCommon Bile DuctDrainageHumansLength of StayPostoperative ComplicationsBiliary stentingCholedocholithiasisPrimary repairT-tube

Identifiers

PMID35786738
PMCPMC9399200
OpenAlexW4283802991

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.