Evidence map›Paper›PMID 42630418›Full record

ArticleAmerican journal of translational research2026

Clinical value of laparoscopy combined with choledochoscopy in the treatment of intrahepatic and extrahepatic bile duct stones: a retrospective analysis.

Senrui Chen, Zhifeng Xu, Yuncheng Luo

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Article in American journal of translational research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Senrui ChenDepartment of General Surgery, Wenzhou People's Hospital Wenzhou 325000, Zhejiang, China.
Zhifeng XuDepartment of General Surgery, Wenzhou People's Hospital Wenzhou 325000, Zhejiang, China.
Yuncheng LuoDepartment of General Surgery, Wenzhou People's Hospital Wenzhou 325000, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical efficacy, postoperative recovery, and safety of laparoscopy combined with choledochoscopy versus traditional laparotomy for intrahepatic and extrahepatic bile duct stones.

methodsClinical data of 80 patients treated at Wenzhou People's Hospital from January 2022 to December 2024 were retrospectively analyzed. Patients were divided into an observation group (laparoscopy combined with choledochoscopy, n = 42) and a control group (traditional open bile duct exploration, n = 38). Operative parameters, stone clearance, postoperative recovery, complications, and follow-up outcomes were compared.

resultsOperation time was longer in the observation group than in the control group (128.5 ± 32.6 min vs. 98.3 ± 25.4 min, P < 0.001), but intraoperative blood loss was significantly lower (35.4 ± 18.7 mL vs. 42.6 ± 17.3 mL, P < 0.05). No significant differences were found in stone clearance or residual stone rate between groups (both P > 0.05). The observation group showed significantly better outcomes in gastrointestinal function recovery, postoperative ambulation, analgesic use, and hospital stay (all P < 0.01). Total complication rate was lower in the observation group (7.1% vs. 21.1%, P < 0.001). No significant differences were observed in 6-month stone recurrence rate or 3-month liver function between groups (both P > 0.05).

conclusionLaparoscopy combined with choledochoscopy has a slightly longer operation time but offers less intraoperative blood loss, reduced trauma, faster postoperative recovery, and comparable long-term efficacy compared with traditional laparotomy for intrahepatic and extrahepatic bile duct stones.

Indexed as

choledochoscopeIntrahepatic and extrahepatic bile duct stoneslaparoscopyminimally invasive surgerypostoperative recovery

Identifiers

PMID42630418
PMCPMC13494374

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