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. 2022 Feb 7;14(2):e21975. doi: 10.7759/cureus.21975

Table 1. Findings of the two large reviews and latest literature search.

LC: laparoscopic cholecystectomy, LCBD: laparoscopic cholecystectomy and bile duct exploration, OC: open cholecystectomy, OLT: orthoptic liver transplantation, ERCP: endoscopic retrograde cholangiopancreatography

  Chong et al (2010) [5] Pang et al (2019) [6] Latest review
Number cases (period) N = 69 (1978-2007) N = 64 (1997-2017) N= 53 (2018-2021)
Gender      
Female 42 (60.9%) 35 (54.6%) 26 (49.1%)
Male 26 (37.7%) 26 (40.6%) 26 (49.1%)
Not stated 1 (1.4%) 3 (4.7%) 1 (1.8%)
Median age (yrs) 60 (31-88) 59.75 (31-93)  65 (35 - 90)
Initial operation      
LC 47 (68.1%) 43 (67.1%) 37 (69.8%)
LCBD Not stated 15 (23.4%) 11 (20.8%)
OC 25 (36.2%) 4 (6.2%) 4 (7.5%)
OC+OLT 1 (2.1%) 1 (1.6%) 0 (0%)
Not stated Not stated 1 (1.6%) 1 (1.9%)
Duration from surgery to presentation Median: 26 months Median: 24 months Median: 49 months
  Mean: not reported Mean: 55.4 months Mean: 86.3 months
  Range: 11 days to 20 yrs Range 1 day to 20 years Range: 1 month to 35 yrs
Symptoms reported      
Pain 58 (84.1%) 46 (71.8%) 41 (77.4%)
Jaundice 53 (76.8%) 30 (46.9%) 25 (47.2%)
Fever 22 (31.9%) 19 (29.7%) 21 (39.6%)
Nausea/vomiting 18 (26.1%) 18 (28.1%) 7 (13.2%)
Chills Not stated 5 (7.8%) 1 (1.9%)
Asymptomatic Not stated 12 (18.8%) 9 (17.0%)
Admitting diagnosis      
Obstructive jaundice 26 (37.7%) Not stated 13 (24.5%)
Cholangitis 19 (27.5%) Not stated 18 (33.9%)
Biliary colic 13 (18.8%) Not stated 12 (22.6%)
Acute pancreatitis 6 (8.7%) Not stated 1 (1.9%)
Incidental finding 3 (4.3%) Not stated 9 (17.0%)
Abnormal liver profiles only 2 (2.8%) Not stated 1 (1.9%)
Migrated lip on radiography 1 (1.4%) Not stated Not stated
Location of clip migrations      
Common bile duct 69 (100%) 49 (76.6%) 53 (100%)
Duodenum 0 (0%) 4 (6.3%) 0 (0%)
T-tube 0 (0%) 10 (15.6%) 0 (0%)
Gallbladder remnant 0 (0%) 1 (1.6%) 0 (0%)
Median number of migrated clips 1 (range 1- 6) 1 (range 1-4) 1 (range 1-6)
Type of clips      
Metal Mostly metal Not reported 35 (66.0%)
Absorbable Not reported Not reported 3 (5.7%)
Hem-o-Lok Not reported Not reported 15 (28.3%)
Management      
ERCP (Successful clearance) 53 (77.0%) 35 (54.7%) 37 (69.8%)
ERCP (failed clearance needing surgery) Not reported 6 (9.4%) 2 (3.8%)
Surgery 14 (20.2%) 13 (21.3%) 7 (13.2%)
Choledochoscopic clearance 14 (20.2%) 12 (18.8%)   1 (1.9%)
Others 1 (1.4%) 4 (6.4%) 3 (5.7%)