Liao JH, Li JS, Wang TL, Liu WS. Laparoscopic cholecystectomy plus common bile duct exploration for extrahepatic bile duct stones and postoperative recurrence-associated risk factors. World J Gastrointest Surg 2024; 16(11): 3511-3519 [PMID: 39649185 DOI: 10.4240/wjgs.v16.i11.3511]
Corresponding Author of This Article
Jia-Hua Liao, MMed, Attending Doctor, Department of Hepatobiliary Surgery, Shaoyang Central Hospital, No. 36 Qianyuan Lane, Hongqi Road, Shaoyang 422000, Hunan Province, China. 15773969392@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3511-3519 Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3511
Table 1 Baseline data
Control group (n = 40)
Observation group (n = 42)
χ2
P value
Sex
Male
18
17
Female
22
25
0.171
0.679
Age
≤ 65 years old
12
16
> 65 years old
28
26
0.597
0.440
Stone diameter
≤ 10 mm
19
24
> 10 mm
21
18
0.764
0.382
Number of stones
Single
30
28
Multiple
10
14
0.687
0.407
Disease course
≤ 2 years
25
21
> 2 years
15
21
1.300
0.254
Sphincter of Oddi function
Normal
28
32
Abnormal
12
10
0.400
0.527
Table 2 Surgical outcomes
Stone residual
Operation time (min)
Intraoperative bleeding (mL)
Control group (n = 40)
7
171.25 ± 48.51
52.05 ± 72.34
Observation group (n = 42)
2
144.24 ± 47.89
20.60 ± 16.94
t/χ2
3.402
2.537
2.741
P value
0.065
0.013
0.008
Table 3 Postoperative complications
Bile leakage
Abdominal pain
Biliary tract infection
Diarrhea
Gastrointestinal bleeding
Total
Control group (n = 40)
2
5
3
3
1
14
Observation group (n = 42)
0
2
1
1
0
4
χ2
7.761
P value
0.005
Table 4 Results of univariate analysis
Recurrence group (n = 13)
Non-recurrence group (n = 69)
χ2
P value
Sex
Male
6
29
Female
7
40
0.076
0.783
Age
≤ 65 years old
3
36
> 65 years old
10
33
3.713
0.054
Stone diameter
≤ 10 mm
6
39
> 10 mm
7
30
0.475
0.491
Number of stones
Single
6
36
Multiple
7
33
0.159
0.690
Disease course
≤ 2 years
11
46
> 2 years
2
23
1.663
0.197
Sphincter of Oddi function
Normal
5
53
Abnormal
8
16
7.771
0.005
Treatment scheme
Open choledocholithotomy plus laparoscopic or open cholecystectomy
10
30
Laparoscopic cholecystectomy plus common bile duct exploration
3
39
4.897
0.027
Table 5 Assignment table
Variable
Assignment
Sphincter of Oddi function
Normal = 0, abnormal = 1
Treatment scheme
Open choledocholithotomy plus laparoscopic or open cholecystectomy = 1, laparoscopic cholecystectomy plus common bile duct exploration = 0
Table 6 Results of multivariate analysis
Estimate
Std Error
P value
OR
Lower 95%CI
Upper 95%CI
Sphincter of Oddi function
1.743
0.643
0.007
5.712
1.620
20.143
Treatment scheme
1.913
0.726
0.008
6.771
1.631
28.102
Citation: Liao JH, Li JS, Wang TL, Liu WS. Laparoscopic cholecystectomy plus common bile duct exploration for extrahepatic bile duct stones and postoperative recurrence-associated risk factors. World J Gastrointest Surg 2024; 16(11): 3511-3519