Laparoscopic hepatectomy for treating recurrent Intrahepatic bile duct stones: A review and meta-analysis

Abstract

Objective Laparoscopic hepatectomy(LH) has been a controversial topic for patients with prior upper abdominal surgery,especially for the patients with recurrent intrahepatic bile duct(IHD) stones.The purpose of this meta-analysis is to systematically evaluate the efficacy and safety of laparoscopic hepatectomy(LH) and open hepatectomy(OH) in patients with recurrent Intrahepatic bile duct stones which who have had at least one biliary tract surgery in the past. Methods Retrieving all satisfied reports from the time the repository was built to December 2020. Literature published in English.After selecting the literature, extracting the data and evaluating the quality according to the Cochrane systematic evaluation method, the extracted data were statistically analyzed using RevMan 5.4 software.Continuity variables were calculated by mean difference (MD) and 95% confidence interval (CI), while dichotomous variables were calculated by 95% CI odds ratio (0R). Results Through screening, we finally obtained one RCT study, but this study did not met our predetermined selection criteria. Therefore, no suitable studies were identifified for inclusion in this review. Conclusion We found no RCT evidence - supportive or otherwise - for the use of Laparoscopic hepatectomy for people with recurrent intrahepatic bile duct stones. We concluded that there is an urgent need for well conducted RCTs in this area