©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World Journal of Gastrointestinal Surgery. Sep 27, 2018; 10(6): 57-69
Published online Sep 27, 2018. doi: 10.4240/wjgs.v10.i6.57
Published online Sep 27, 2018. doi: 10.4240/wjgs.v10.i6.57
Systematic review of cystic duct closure techniques in relation to prevention of bile duct leakage after laparoscopic cholecystectomy
Aafke H van Dijk, Stijn van Roessel, Marja A Boermeester, Departement of Surgery, Amsterdam University Medical Centre, Amsterdam 1105 AZ, The Netherlands
Philip R de Reuver, Department of Surgery, Radboud University Medical Center, Nijmegen 6525 GA, The Netherlands
Djamila Boerma, Department of Surgery, St. Antonius Hospital, Nieuwegein 3435 CM, The Netherlands
Sandra C Donkervoort, Department of Surgery, Onze Lieve Vrouw Gasthuis, Amsterdam 1091 AC, The Netherlands
Author contributions: van Dijk AH, Donkervoort SC, Boerma D, Boermeester MA and de Reuver PR conceptualized and designed the review together; van Dijk AH and van Roessel S carried out analysis; van Dijk AH, van Roessel S and de Reuver PR drafted the manuscript; all authors reviewed and approved the final manuscript as submitted.
Conflict-of-interest statement: No conflicts of interests or disclosures.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Correspondence to: Aafke H van Dijk, MD, Research Fellow, Departement of Surgery, Amsterdam University Medical Centre, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands. a.h.vandijk@amc.uva.nl
Telephone: +31-20-5662766
Received: August 2, 2018
Peer-review started: August 3, 2018
First decision: August 8, 2018
Revised: August 18, 2018
Accepted: August 28, 2018
Article in press: August 28, 2018
Published online: September 27, 2018
Processing time: 54 Days and 0.4 Hours
Peer-review started: August 3, 2018
First decision: August 8, 2018
Revised: August 18, 2018
Accepted: August 28, 2018
Article in press: August 28, 2018
Published online: September 27, 2018
Processing time: 54 Days and 0.4 Hours
Core Tip
Core tip: Cystic duct leakage (CDL) is an unwanted, potential life threatening complication of laparoscopic cholecystectomy (LC). Several techniques have been described to securely close the cystic duct during cholecystectomy. Based on available evidence from this systematic review, it is not possible to either recommend or discourage any of the techniques for cystic duct closure during LC with respect to CDL, although data point out a slight preference for locking clips and ligatures vs other techniques. No separate recommendation can be made for complicated gallbladder disease.