ArticleBMC geriatrics2025
Comparison of the efficacy of laparoscopic primary closure of the common bile duct and T-tube drainage in the treatment of choledocholithiasis in elderly patients.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Improved outcomes and prognostic risk prediction for laparoscopic common bile duct exploration with primary closure versus T-tube drainage.American journal of translational research · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundWith the aging population, the incidence of choledocholithiasis in elderly patients is increasing. Since interventional endoscopy cannot address gallbladder stones, laparoscopic common bile duct exploration is more suitable for elderly patients. However, there is still controversy over whether primary suture of the common bile duct or T-tube drainage is more appropriate for elderly patients. This study aims to explore the clinical efficacy of these two methods in treating elderly patients (≥ 70 years) with choledocholithiasis, comparing their surgical safety, complication rates, postoperative recovery, and long-term outcomes.
methodsA retrospective analysis was conducted on 97 patients diagnosed with choledocholithiasis (or combined with gallbladder stones), aged 70 years or older, and who underwent laparoscopic primary suture of the common bile duct (PC group, 45 cases) or T-tube drainage (TD group, 52 cases) in our hospital from January 1, 2022, to October 30, 2023. The preoperative characteristics, intraoperative outcomes, and postoperative recovery of the PC and TD groups were compared.
resultsThe PC group had shorter operative time, common bile duct suture time, bowel function recovery time, 6-day postoperative VAS, total hospital stay, and postoperative hospital stay compared to the TD group. There was no significant difference in postoperative complications between the two groups, with both experiencing cases of pulmonary infection (PC: 3 cases, TD: 2 cases), cardiovascular events (PC: 2 cases, TD: 1 case), and bile leakage (PC: 3 cases, TD: 4 cases). Additionally, the TD group had 3 cases of T-tube site wound infection, 3 cases of acute cholangitis, and 2 cases of readmission within 30 days post-discharge. After a median follow-up of 16 months, no residual or recurrent stones or biliary duct strictures were observed in either group.
conclusionLaparoscopic primary suture of the common bile duct avoids some complications associated with T-tube drainage and offers advantages such as less trauma, faster recovery, and shorter hospital stay. For elderly patients with clear indications, this surgical method is a safe and feasible option.
Indexed as
Identifiers
What OpenQuestion holds
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.