Complications of biliary stenting versus T-tube insertion after common bile duct exploration: A systematic review and meta-analysis

Reno Rudiman, Ricarhdo Valentino Hanafi, Almawijaya and Freda Halim

PLOS ONE, 2023, vol. 18, issue 1, 1-15

Abstract: Background: Complications following the insertion T-tube or stent after common bile duct exploration (CBDE) remain problematic in nowadays surgical era. Based on our knowledge, we did not find any meta-analysis intentionally evaluating the complications between both groups. At this moment, we aimed to analyze and compare both procedures’ complications, efficacy, efficiency, and feasibility. Methods: We searched literature from four databases (EuroPMC, PubMed, Scopus, and ClinicalTrials.gov) up to June 2022 to compile the randomized controlled trials and pro-/retrospective cohort studies. Review Manager 5.4 was used to statistically analyze each outcome measured between biliary stenting and T-tube insertion. Results: Sixteen studies with 1,080 patients (534 biliary stents and 546 T-tube) were included for qualitative and quantitative analysis. The pooled risk ratio (RR) of the overall postoperative complications rate was significantly lower in the biliary stent group compared to the T-tube group 0.43 [95% confidence interval (CI) 0.23–0.80, p = 0.007]. In terms of the operation time, length of hospital stay, and readmission rate was also decreased in stenting as biliary drainage over T-tube placement 1.02 minutes [95% CI -1.53, -0.52, p

Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0280755

DOI: 10.1371/journal.pone.0280755

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