Evidence map›Paper›PMID 41571833›Full record

Trial reportScientific reports2026

Prospective randomized trial of triple port laparoscopic cholecystectomy combined with choledochoscopic common bile duct exploration and primary closure for acute abdominal pain.

Xirang Wang, Jian Kang, Yuxiang Li, Xiaofeng Sun, Jun Zhang, Yunpeng Wu, Hehui Tao, Li Wang, Ruizhou Rong, Miao Wang and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

12 authors.

Xirang WangDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Jian KangDepartment of General Surgery, Beijing Huimin Hospital, Beijing, 100054, China. kangjian524@163.com.
Yuxiang LiDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China. 65367103@qq.com.
Xiaofeng SunDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Jun ZhangDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Yunpeng WuDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Hehui TaoDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Li WangDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Ruizhou RongDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Miao WangDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Kang LiuDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.
Zhen BanDepartment of General Surgery, Beijing Fengtai Youanmen Hospital, Beijing, 100069, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the clinical efficacy of laparoscopic common bile duct exploration (LCBDE) combined with choledochoscopy and primary closure without T-tube drainage in managing acute abdominal pain caused by choledocholithiasis (common bile duct stones, CBDS) and cholecystolithiasis with acute cholecystitis. A single-center prospective study was conducted at the Department of General Surgery, Beijing Fengtai Youanmen Hospital, from April 2024 to February 2025. Sixty-one patients with acute abdominal pain due to CBDS and cholecystolithiasis with acute cholecystitis were randomized into two groups: T-tube-free group (n = 35), Triple-port laparoscopic cholecystectomy (LC) + LCBDE with primary closure; T-tube group (n = 26), Four-port LC + LCBDE with T-tube drainage. Perioperative outcomes were compared between the groups. Baseline characteristics were comparable (all P > 0.05). The T-tube-free group demonstrated superior outcomes in operative time, intraoperative blood loss, postoperative pain, duration of abdominal drainage, and hospital stay (all P < 0.05). Each group had one case of biliary leakage, both resolved conservatively. No mortality, pancreatitis, conversion to open surgery, residual stones, biliary hemorrhage, or strictures occurred in either group. Triple-port LC combined with LCBDE and primary closure without T-tube drainage is safe and feasible for acute abdominal pain. Compared to T-tube drainage, this approach better aligns with the principles of enhanced recovery after surgery (ERAS).

Indexed as

Abdominal PainCholecystectomy, LaparoscopicCholedocholithiasisCommon Bile DuctAdultAgedCholecystitis, AcuteDrainageFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeCBDSCholedocholithiasisCholedochoscopic explorationLaparoscopyProspective studyT-tube drainage

Identifiers

PMID41571833
PMCPMC12901185

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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.