Evidence map›Paper›PMID 39994046›Full record

ArticleSurgical endoscopy2025

Comparison of primary duct closure versus T-tube drainage in laparoscopic common bile duct exploration: a propensity score matching analysis.

Xiangmei Chen, Jianming Liu, Pingguo Liu, Qinliang Fang, Yu Xiong, Fuqing Chen, Jianyin Zhou

Erratum issuedAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Xiangmei Chen *Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Jianming Liu *Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Pingguo LiuFujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Qinliang FangFujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Yu XiongFujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Fuqing ChenFujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China.
Jianyin ZhouFujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen Key Laboratory of Translational Medical of Digestive System Tumor, Department of Hepatobiliary Surgery, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen University, Xiamen, 361000, People's Republic of China. zhoujianyin2000@sina.com.ORCID 0000-0002-4396-4518

Funding

Natural Science Foundation of Fujian Province No.2024J011331Natural Science Foundation of Xiamen Municipality (No.3502Z20227269
6 · The paper itself

Abstract

BACKGROUND AND

aimsLaparoscopic common bile duct exploration (LCBDE) is a safe and effective method for the treatment of choledocholithiasis. However, there is still controversy in clinical practice over whether primary duct closure (PDC) or T-tube drainage (TTD) should be selected after choledochotomy. Therefore, this study aimed to compare the two methods of closing the common bile duct in order to identify the safer and more effective approach. APPROACH AND

resultsA retrospective analysis was conducted on data from 745 patients who underwent LCBDE at the Department of Hepatobiliary and Pancreatic Surgery, Zhongshan Hospital, Xiamen University, between January 2017 and December 2021. Using propensity score matching (PSM), 433 patients were selected and divided into two groups: the primary duct closure group (PDC group, 287 patients) and the T-tube drainage group (TTD group, 146 patients). The study compared preoperative baseline characteristics, Intraoperative conditions, and postoperative conditions between the two groups. The results showed that the PDC group had significantly shorter operative time and less intraoperative blood loss compared to the TTD group, along with a lower incidence of postoperative infections. Despite no significant differences between the two groups in terms of postoperative hospital stay, bile leakage, biliary stricture, residual stones, postoperative bleeding, and recurrence, the overall performance of the PDC group was superior to that of the TTD group.

conclusionThe study concluded that primary duct closure (PDC) after LCBDE is safer and more effective than T-tube drainage (TTD), without increasing the risk of postoperative complications.

Indexed as

CholedocholithiasisCommon Bile DuctDrainageLaparoscopyAdultAgedBlood Loss, SurgicalFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRetrospective StudiesCholedocholithiasisLaparoscopic common bile duct exploration (LCBDE)Primary duct closure (PDC)Propensity score matching (PSM)T-tube drainage (TTD)

Identifiers

PMID39994046

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.