Cochrane · systematic review · CD003327
Surgical versus endoscopic treatment of bile duct stones
Dasari, BVM, Tan, CJ, Gurusamy, KS, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 13 · 100%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsOpen surgery compared to ERCP for bile duct stones
Population: with common bile duct stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Open surgery vs ERCP | no estimate extracted | 8 studies · 733 participants | Moderate |
Total morbidity Open surgery vs ERCP | OR 1.12 [0.77, 1.62] | 8 studies · 729 participants | Moderate |
Failure of procedure Open surgery vs ERCP | OR 0.32 [0.21, 0.48] | 7 studies · 943 participants | Moderate |
Retained stones after primary intervention Open surgery vs ERCP | OR 0.36 [0.23, 0.57] | 7 studies · 943 participants | Moderate |
LC + LCBDE versus pre‐operative ERCP + LC for common bile duct stones
Population: with common bile duct stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality at 30 days LC + LCBDE vs pre‐operative ERCP + LC | OR 0.72 [0.12, 4.33] | 5 studies · 580 participants | Moderate |
Total morbidity LC + LCBDE vs pre‐operative ERCP + LC | OR 1.28 [0.8, 2.05] | 5 studies · 580 participants | Moderate |
Failure of procedure LC + LCBDE vs pre‐operative ERCP + LC | OR 0.51 [0.16, 1.59] | 5 studies · 580 participants | Moderate |
Retained stones after primary intervention LC + LCBDE vs pre‐operative ERCP + LC | OR 0.79 [0.45, 1.39] | 5 studies · 580 participants | Moderate |
Conversion to open surgery LC + LCBDE vs pre‐operative ERCP + LC | OR 1.46 [0.76, 2.81] | 5 studies · 580 participants | Moderate |
LC + LCBDE compared to LC + post‐operative ERCP for common bile duct stones
Population: with common bile duct stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total morbidity LC + LCBDE vs LC + post‐operative ERCP | OR 1.16 [0.5, 2.72] | 2 studies · 166 participants | Moderate Downgraded: risk of bias |
Failure of procedure LC + LCBDE vs LC + post‐operative ERCP | OR 0.47 [0.21, 1.06] | 2 studies · 166 participants | Moderate |
Retained stones after primary intervention LC + LCBDE vs LC + post‐operative ERCP | OR 0.28 [0.11, 0.72] | 2 studies · 166 participants | Moderate |
Conversion to open surgery LC + LCBDE vs LC + post‐operative ERCP | OR 1.77 [0.23, 13.81] | 2 studies · 166 participants | Moderate |