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  • Mohseni, Shahin,1978-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Division of Trauma and Emergency Surgery (författare)

Common bile duct stones management : A network meta-analysis

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • Lippincott Williams & Wilkins,2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-102209
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-102209URI
  • https://doi.org/10.1097/TA.0000000000003755DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:for swepub-publicationtype

Anmärkningar

  • BACKGROUND: Timely management is critical for treating symptomatic common bile duct (CBD) stones; however, a single optimal management strategy has yet to be defined in the acute care setting. Consequently, this systematic review and network meta-analysis, comparing one-stage (CBD exploration or intraoperative endoscopic retrograde cholangiopancreatography [ERCP] with simultaneous cholecystectomy) and two-stage (precholecystectomy or postcholecystectomy ERCP) procedures, was undertaken with the main outcomes of interest being postprocedural complications and hospital length of stay (LOS).METHODS: PubMed, SCOPUS, MEDLINE, Embase, and Cochrane Central Register of Controlled Trials were methodically queried for articles from 2010 to 2021. The search terms were a combination of medical subject headings terms and the subsequent terms: gallstone; common bile duct (stone); choledocholithiasis; cholecystitis; endoscopic retrograde cholangiography/ERCP; common bile duct exploration; intraoperative, preoperative, perioperative, and postoperative endoscopic retrograde cholangiography: stone extraction; and one-stage and two-stage procedure. Studies that compared two procedures or more were included, whereas studies not recording complications (bile leak, hemorrhage, pancreatitis, perforation, intra-abdominal infections, and other infections) or LOS were excluded. A network meta-analysis was conducted to compare the four different approaches for managing CBD stones.RESULTS: A total of 16 studies (8,644 participants) addressing the LOS and 41 studies (19,756 participants) addressing postprocedural complications were included in the analysis. The one-stage approaches were associated with a decrease in LOS compared with the two-stage approaches. Common bile duct exploration demonstrated a lower overall risk of complications compared with preoperative ERCP, but there were no differences in the overall risk orcomplications in the remaining comparisons. However, differences in specific postprocedural complications were detected between the four different approaches managing CBD stones.CONCLUSION: This network meta-analysis suggests that both laparoscopic CBD exploration and intraoperative ERCP have equally good outcomes and provide a preferable single-anesthesia patient pathway with a shorter overall length of hospital stay compared with the two-stage approaches.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Bass, Gary Alan,1979-Örebro universitet,Institutionen för medicinska vetenskaper,Division of Traumatology, Surgical Critical Care and Emergency Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Philadelphia Pennsylvania, USA(Swepub:oru)gbs (författare)
  • Forssten, Maximilian Peter,1996-Örebro universitet,Institutionen för medicinska vetenskaper,Division of Trauma and Emergency Surgery(Swepub:oru)mmfn (författare)
  • Martinez Casas, IsidroServicio de Cirugía General y Digestiva, Unidad de Cirugía de Urgencias y Trauma, Hospital Universitario Virgen del Rocio, Sevilla Andalucia, Spain (författare)
  • Martin, MatthewDivision of Acute Care Surgery, Los Angeles County, Los Angeles California, USA (författare)
  • Davis, Kimberly A.Division of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven Connecticut, USA (författare)
  • Haut, Elliott R.The Johns Hopkins University School of Medicine, Division of Acute Care Surgery, Department of Surgery, Department of Anesthesiology and Critical Care Medicine, Baltimore MD, USA.; The Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore MD, USA.; he Johns Hopkins University School of Medicine, Department of Health Policy and Management, Baltimore MD, USA (författare)
  • Sugrue, MichaelLetterkenny Hospital, Galway University, Galway, Ireland (författare)
  • Kurihara, HayatoUOSD Chirurgia d'Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy (författare)
  • Sarani, BabakCenter of Trauma and Critical Care, George Washington University, Washington DC, USA (författare)
  • Cao, Yang,Associate Professor,1972-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Clinical Epidemiology and Biostatistics(Swepub:oru)yco (författare)
  • Coimbra, RaulDepartment of Surgery, Riverside University Health System Medical Center, Moreno Valley CA, USA; Department of Surgery, Loma Linda University School of Medicine, Loma Linda CA, USA; Department of Surgery, Comparative Effectiveness and Clinical Outcomes Research Center, Moreno Valley CA, USA (författare)
  • Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Trauma and Acute Care Surgery: Lippincott Williams & Wilkins93:5, s. E155-E1652163-07552163-0763

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