There is no clear consensus on the better therapeutic approach of using endoscopy or surgery for choledocholithiasis.
Dr Clayton and colleagues conducted a meta-analysis of the available evidence.
The research team searched Medline databases.
The team identified 12 studies that met the inclusion criteria for data extraction.
The analysis was performed using a random-effects model.
The researchers calculated the outcome as an odds ratio or relative risk with 95% confidence intervals.
Outcomes of 1357 patients were studied.
|There was no difference in mortality between the groups|
|British Journal of Surgery|
The team found no significant difference in successful duct clearance, mortality, or total morbidity between the groups.
Major morbidity or need for additional procedures also did not differ between the endoscopic and surgical groups.
The team observed no significant difference between the endoscopic and laparoscopic surgery groups.
Dr Clayton's team concluded, “Both approaches have similar outcomes, and treatment should be determined by local resources and expertise.”