ArticleBMC surgery2026
Comparison of laparoscopic manual suturing and laparoscopic stapler usage for gallbladder duodenal fistula stoma closure.
Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundCholecystoduodenal fistula (CDF) is a rare complication of recurrent gallstone disease, characterized by chronic inflammation, localized ischemia, and tissue necrosis. In this study, the clinical outcomes associated with laparoscopic manual suturing and stapler-assisted closure were compared in the context of CDF repair with accompanying video presentations.
methodsOverall, 21 patients diagnosed with CDF who underwent treatment at Fujian Provincial Hospital between January 2010 and December 2024 were retrospectively analyzed. Participants were categorized into two groups: those who underwent stapler-assisted closure (stapler group, n = 12) and those who underwent manual suturing (manual suture group, n = 9). Intraoperative parameters, postoperative recovery markers, and complication rates were compared between groups. Statistical data were evaluated using SPSS version 26.0 (SPSS Inc., IL, USA) and p < 0.05 was considered as significant in all analyses.
resultsThe patient characteristics and preoperative factors were similar in two groups (p > 0.05). The stapler group had a significantly shorter operative time in comparison with the manual suture group (72.5 min vs. 115.0 min, p < 0.001) and four patients (44.4%) in the manual suture group required conversion to open surgery (p:0.021). Subtotal cholecystectomy was performed in 5 patients (41.7%) in stapler group, and 3 patients (33.3%) in manual suture group. The sizes of the cholecystoduodenal fistulas were almost same between two groups (0.8 cm vs. 0.7 cm). Postoperative complications were mostly seen in manual suture group; 3 patients (33.3%) had duodenal fistula and 2 patients (22.2%) required reoperation. Postoperative recovery occurred more rapidly in the stapler group, with a shorter period to start to oral intake, for removal of nasogastric and drainage tubes; and a shorter duration of hospitalization time (p < 0.05).
conclusionLaparoscopic stapler-assisted repair of CDF using the preserved gallbladder wall offers significant advantages over traditional manual suturing. It decreases the operative duration, lowers conversion rates, and reduces the odds of postoperative complications. Given these benefits, this technique is recommended for broader clinical adoption. However, in cases where the stapler use is inappropriate due to the technical issues; manual suturing can be the preferable method in selected cases.
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.