Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

Abstract

The current meta-analysis indicates that primary closure of the common bile duct is safer and more effective than T-tube drainage for LCBDE. Therefore, we do not recommend routine performance of T-tube drainage in LCBDE.

The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis

“…Based on the postoperative outcomes observed in both groups, it was believed that PDC offers similar advantages to TTD in expediting postoperative rehabilitation, reducing the duration of postoperative hospital stay and curtailing hospitalization costs. These findings align closely with the conclusions drawn from some clinical studies 21–23 . A retrospective study by Dong et al shows that the operating time was much shorter in PDC than TTD ([102.6 ± 15.2 min] vs. [128.6 ± 20.4 min], p = 0.017).…”

The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis

“…Based on the postoperative outcomes observed in both groups, it was believed that PDC offers similar advantages to TTD in expediting postoperative rehabilitation, reducing the duration of postoperative hospital stay and curtailing hospitalization costs. These findings align closely with the conclusions drawn from some clinical studies 21–23 . A retrospective study by Dong et al shows that the operating time was much shorter in PDC than TTD ([102.6 ± 15.2 min] vs. [128.6 ± 20.4 min], p = 0.017).…”

Comparison on the Efficacy of Three Duct Closure Methods after Laparoscopic Common Bile Duct Exploration for Choledocholithiasis

“…In the present study, we compared the efficacy and safety of 3 duct closure methods after LCBDE, including TTD, common suture, and barbed suture for choledocholithiasis. The results showed that when compared with the TTD group, the suturing time, tube-carried time, and LOS were decreased markedly in the common suture group and the barbed suture group, which suggested the primary suture of CBD was superior to TTD after LCBDE, consistent to the results of other studies [27,29,30]. TTD is a traditional management method after LCBDE for choledocholithiasis, which provides an easy percutaneous access for cholangiography and extraction of residual stones [13].…”

Comparison of Laparoscopic Common Bile Duct Exploration with Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones After Cholecystectomy

“…30 With the development of laparoscopic and choledochoscopic techniques, it is more recommended to use one-stage suture instead of T-tube retention after LCBDE. 31–34 In a similar previous study, almost all patients were indwelled with a T-tube after LCBDE, while that proportion in our cohort was much lower—13.6%. 21 Our study compared optimized LCBDE with ERCP and refined the detailed selection criteria of operation.…”

The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis

“…Based on the postoperative outcomes observed in both groups, it was believed that PDC offers similar advantages to TTD in expediting postoperative rehabilitation, reducing the duration of postoperative hospital stay and curtailing hospitalization costs. These findings align closely with the conclusions drawn from some clinical studies 21–23 . A retrospective study by Dong et al shows that the operating time was much shorter in PDC than TTD ([102.6 ± 15.2 min] vs. [128.6 ± 20.4 min], p = 0.017).…”

Comparison on the Efficacy of Three Duct Closure Methods after Laparoscopic Common Bile Duct Exploration for Choledocholithiasis

“…In the present study, we compared the efficacy and safety of 3 duct closure methods after LCBDE, including TTD, common suture, and barbed suture for choledocholithiasis. The results showed that when compared with the TTD group, the suturing time, tube-carried time, and LOS were decreased markedly in the common suture group and the barbed suture group, which suggested the primary suture of CBD was superior to TTD after LCBDE, consistent to the results of other studies [27,29,30]. TTD is a traditional management method after LCBDE for choledocholithiasis, which provides an easy percutaneous access for cholangiography and extraction of residual stones [13].…”

Comparison of Laparoscopic Common Bile Duct Exploration with Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones After Cholecystectomy

“…30 With the development of laparoscopic and choledochoscopic techniques, it is more recommended to use one-stage suture instead of T-tube retention after LCBDE. 31–34 In a similar previous study, almost all patients were indwelled with a T-tube after LCBDE, while that proportion in our cohort was much lower—13.6%. 21 Our study compared optimized LCBDE with ERCP and refined the detailed selection criteria of operation.…”

The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis

“…Based on the postoperative outcomes observed in both groups, it was believed that PDC offers similar advantages to TTD in expediting postoperative rehabilitation, reducing the duration of postoperative hospital stay and curtailing hospitalization costs. These findings align closely with the conclusions drawn from some clinical studies 21–23 . A retrospective study by Dong et al shows that the operating time was much shorter in PDC than TTD ([102.6 ± 15.2 min] vs. [128.6 ± 20.4 min], p = 0.017).…”

Comparison on the Efficacy of Three Duct Closure Methods after Laparoscopic Common Bile Duct Exploration for Choledocholithiasis

“…In the present study, we compared the efficacy and safety of 3 duct closure methods after LCBDE, including TTD, common suture, and barbed suture for choledocholithiasis. The results showed that when compared with the TTD group, the suturing time, tube-carried time, and LOS were decreased markedly in the common suture group and the barbed suture group, which suggested the primary suture of CBD was superior to TTD after LCBDE, consistent to the results of other studies [27,29,30]. TTD is a traditional management method after LCBDE for choledocholithiasis, which provides an easy percutaneous access for cholangiography and extraction of residual stones [13].…”

Comparison of Laparoscopic Common Bile Duct Exploration with Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones After Cholecystectomy

“…30 With the development of laparoscopic and choledochoscopic techniques, it is more recommended to use one-stage suture instead of T-tube retention after LCBDE. 31–34 In a similar previous study, almost all patients were indwelled with a T-tube after LCBDE, while that proportion in our cohort was much lower—13.6%. 21 Our study compared optimized LCBDE with ERCP and refined the detailed selection criteria of operation.…”