Evidence map›Paper›PMID 38114078›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2024

Outcomes of laparoscopic choledochotomy using cholangioscopy via percutaneous-choledochal tube for the treatment of hepatolithiasis and choledocholithiasis: A preliminary Vietnamese study.

Loi Van Le, Quang Van Vu, Thanh Van Le, Hieu Trung Le, Khue Kim Dang, Tuan Ngoc Vu, Anh Hoang Ngoc Nguyen, Thang Manh Tran

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Article in Annals of hepato-biliary-pancreatic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

8 authors at 2 institutions in 1 country.

Loi Van LeDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0006-2630-3183
Quang Van VuDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-3840-8752
Thanh Van LeDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0003-1980-4722
Hieu Trung LeDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0002-3290-7275
Khue Kim DangCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-2387-7118
Tuan Ngoc VuDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-7684-2680
Anh Hoang Ngoc NguyenDepartment of Hepatopancreatobiliary Surgery, Institute of Digestive Surgery, 108 Military Central Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-4491-2242
Thang Manh TranCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.ORCID https://orcid.org/0009-0004-0534-6024
108 Military Central Hospital · VNVinUniversity · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds/Aims: Hepatolithiasis and choledocholithiasis are frequent pathologies and unfortunately, with the current treatment strategies, the recurrence incidence is still high. This study aimed to assess the outcomes of laparoscopic choledochotomy using cholangioscopy via the percutaneous-choledochal tube for the treatment of hepatolithiasis and choledocholithiasis in Vietnamese patients. Methods: A cross-sectional study of patients with hepatolithiasis and/or choledocholithiasis who underwent laparoscopic choledochotomy using intraoperative cholangioscopy via percutaneous-choledochal tube at the Department of Hepatopancreatobiliary Surgery, 108 Military Central Hospital, from June 2017 to March 2020. Results: A total of 84 patients were analyzed. Most patients were females (56.0%) with a median age of 55.56 years. Among them, 41.8% of patients had previous abdominal operations, with 33.4% having choledochotomy. All patients underwent successful laparoscopic common bile duct exploration followed by T-tube drainage without needing to convert to open surgery. Most patients (64.3%) had both intrahepatic and extrahepatic stones. The rate of stones ≥ 10 mm in diameter was 64.3%. Biliary strictures were observed in 19.1% of patients during cholangioscopy. Complete removal of stones was achieved in 54.8% of patients. Intraoperative complications were encountered in two patients, but there was no need to change the strategy. The mean operating time was 121.85 ± 30.47 minutes. The early postoperative complication rate was 9.6%, and all patients were managed conservatively. The residual stones were removed through the T-tube tract by subsequent choledochoscopy in 34/38 patients, so the total success rate was 95.2%. Conclusions: Laparoscopic choledochotomy combined with cholangioscopy through the percutaneous-choledochal tube is a safe and effective strategy for hepatolithiasis and/or choledocholithiasis, even in patients with a previous choledochotomy.

Indexed as

CholedocholithiasisCholedochostomyCommon bile ductIntrahepatic bile ductLaparoscopy

Identifiers

PMID38114078
PMCPMC10896692
OpenAlexW4389966494

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Registered trials

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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.