兰州大学机构库 >基础医学院
Comparison of intraoperative endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration combined with laparoscopic cholecystectomy for treating gallstones and common bile duct stones: a systematic review and meta-analysis
Lei, Caining1,2,3; Lu, Tingting3,4,5; Yang, Wenwen2,6; Yang, Man7; Tian, Hongwei2,8; Song, Shaoming2,6; Gong, Shiyi2; Yang, Jia2; Jiang, Wenjie9; Yang, KH(杨克虎)3,4; Guo, Tiankang1,2,8
2021-07
Source PublicationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN0930-2794
AbstractBackground This study aimed to compare the efficacy and safety of laparoscopic cholecystectomy combined with intraoperative endoscopic retrograde cholangiopancreatography (LC-IntraERCP) and laparoscopic cholecystectomy combined with laparoscopic common bile duct exploration (LC-LCBDE) to determine which one-stage therapeutic strategy provides better outcomes for patients with gallstones and common bile duct stones. Methods Cochrane Library, EMBASE, PubMed, and Web of Science databases were searched to identify eligible articles from the database inception to September 2020. The revised Cochrane risk of bias tools for randomized trials (RoB-2) and non-randomized interventions (ROBINS-I) was used to assess the quality of the included studies. The overall quality of evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool. The primary outcomes consisted of surgical success, retained stones, and overall postoperative complications, while secondary outcomes included postoperative bleeding, postoperative pancreatitis, postoperative bile leakage, conversion to laparotomy, and operative time. Results Eight studies (four RCTs and four Non-RCTs with high quality) with 2948 patients were included. No significant difference was seen between the two groups regarding surgical success, overall postoperative complications, conversion to laparotomy, and operative time. The meta-analysis demonstrated that in the LC-IntraERCP group, the rate of retained stones (OR 0.51, 95% CI 0.28-0.91) and postoperative bile leakage were lower (OR 0.25, 95% CI 0.09-0.69), while in the LC-LCBDE group, postoperative bleeding (OR 5.24, 95% CI 1.65-16.65) and postoperative pancreatitis (OR 4.80, 95% CI 2.35-9.78) decreased. Conclusions LC-IntraERCP and LC-LCBDE exhibited similar efficacies when surgical success rate, overall postoperative complications, conversion to laparotomy, and operative time were compared. However, LC-IntraERCP is probably to be more effective in terms of lowering the rate of retained stones.
KeywordGallstones Common bile duct stones Endoscopic retrograde cholangiopancreatography Laparoscopic cholecystectomy Laparoscopic common bile duct exploration
PublisherSPRINGER
DOI10.1007/s00464-021-08648-y
Indexed BySCOPUS ; SCIE
Language英语
WOS Research AreaSurgery
WOS SubjectSurgery
WOS IDWOS:000678415200003
Original Document TypeReview ; Early Access
Citation statistics
Document Type期刊论文
Identifierhttp://ir.lzu.edu.cn/handle/262010/452455
Collection基础医学院
Affiliation1.Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;
2.Gansu Prov Hosp, Dept Gen Surg, Lanzhou 730000, Peoples R China;
3.Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou 730000, Peoples R China;
4.Key Lab Evidence Based Med & Knowledge Translat G, Lanzhou 730000, Peoples R China;
5.Gansu Prov Hosp, Inst Clin Res & Evidence Based Med, Lanzhou 730000, Peoples R China;
6.Lanzhou Univ, Sch Clin Med 1, Lanzhou 730000, Peoples R China;
7.Univ Elect Sci & Technol China, Affiliated Canc Hosp, Sch Med, Chengdu 610000, Peoples R China;
8.Key Lab Surg Tumor Mol Diag & Precis Therapy Gans, Lanzhou 730000, Peoples R China;
9.Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou 730000, Peoples R China
First Author AffilicationFirst Clinical School;  School of Basic Medical Sciences
Recommended Citation
GB/T 7714
Lei, Caining,Lu, Tingting,Yang, Wenwen,et al. Comparison of intraoperative endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration combined with laparoscopic cholecystectomy for treating gallstones and common bile duct stones: a systematic review and meta-analysis[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES,2021.
APA Lei, Caining.,Lu, Tingting.,Yang, Wenwen.,Yang, Man.,Tian, Hongwei.,...&Guo, Tiankang.(2021).Comparison of intraoperative endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration combined with laparoscopic cholecystectomy for treating gallstones and common bile duct stones: a systematic review and meta-analysis.SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES.
MLA Lei, Caining,et al."Comparison of intraoperative endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration combined with laparoscopic cholecystectomy for treating gallstones and common bile duct stones: a systematic review and meta-analysis".SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021).
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