Evidence map›Paper›PMID 41686575›Full record

SynthesisMedicine2026

Incidence risk and risk factors for postcholecystectomy syndrome: A systematic review and meta-analysis.

Haining Zhou, Feifei Xuan, Mengxue Liu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medicine, 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. Review
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

3 authors.

Haining ZhouRoom of Operation, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Hangzhou, Zhejiang, China.
Feifei XuanRoom of Operation, Shulan (Hangzhou) Hospital, Hangzhou, Zhejiang, China.
Mengxue LiuRoom of Operation, Shulan (Hangzhou) Hospital, Hangzhou, Zhejiang, China.ORCID 0009-0006-2056-3996

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostcholecystectomy syndrome (PCS) is a clinically significant condition with a variable reported occurrence. This study was conducted to quantitatively synthesize the overall incidence of PCS through meta-analysis and identify its associated risk factors.

methodsA comprehensive literature search was conducted across multiple databases, including China National Knowledge Infrastructure, Wanfang, Chinese Technical Sciences Periodical Database‌ (VIP), China Biology Medicine, PubMed, Cochrane Library, Embase, and Web of Science, from inception to April 2025. Cohort and case-control studies investigating the incidence and risk factors of PCS following cholecystectomy were included. Statistical analysis was performed using RevMan 5.4 software.

resultsNine studies involving 2948 cholecystectomy patients were included in the meta-analysis. The pooled analysis demonstrated that the overall incidence of PCS was 3.21% (95% confidence interval: 2.27-4.55%). Preoperative complications were identified as a strong risk factor for PCS (OR = 26.91, 95% confidence interval: 7.87-92.03, P < .00001).

conclusionPCS presents a considerable clinical risk, particularly in patients with preexisting symptoms. Clinicians should prioritize preoperative assessment, with special attention to symptomatic patients, and implement individualized perioperative management strategies to mitigate PCS risk.

Indexed as

CholecystectomyPostcholecystectomy SyndromeChinaHumansIncidenceRisk Factorsgastrointestinal hormoneslaparoscopic cholecystectomymeta-analysispostcholecystectomy syndromerisk factorstreatment outcome

Identifiers

PMID41686575
PMCPMC12908842

What OpenQuestion holds

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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.