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A meta\u2010analysis was conducted to investigate the LHLL and laparoscopic bile duct exploration (LBDE) efficacy and safety in treating bile duct stones.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The correlational studies were searched databases, such as PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, and VIP, to identify eligible studies from inception to July 2022. The dichotomous and continuous outcomes were evaluated using odds ratio (OR), risk difference (RD) and weighted mean difference (WMD) with 95% confidence intervals (CIs). Stata 15.0 and Review Manager 5.3 software helped in data analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 23 studies with 1,890 patients, primarily from China, were included. The results indicated that operation time (WMD\u2009=\u2009\u2212\u200926.94; 95% CI:(\u2212\u200934.30, \u2212\u200919.58); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001), estimated blood loss (WMD\u2009=\u2009\u2212\u200917.97; 95% CI: (\u2212\u200922.94, \u2212\u200913.00); <jats:italic>P<\/jats:italic>\u2009=\u20090.002), rate of residual stone (OR\u2009=\u20090.15, 95%CI: (0.10, 0.23); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001), length of hospital stay (WMD\u2009=\u2009\u2212\u20092.88; 95% CI:(\u2212\u20093.80, \u2212\u20091.96); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001) and time to bowel function recovery (WMD\u2009=\u2009\u2212\u20090.59; 95% CI: (\u2212\u20090.76, \u2212\u20090.41); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001) had statistically significant differences between the two groups. In postoperative complications, biliary leakage (RD\u2009=\u2009\u20100.03; 95% CI: (\u2212\u20090.05, \u20100.00); <jats:italic>P<\/jats:italic>\u2009=\u20090.02), infection (RD\u2009=\u2009\u2212\u20090.06; 95% CI: (\u2212\u20090.09,\u2212\u20090.03); <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.00001) and Hepatic injury (RD\u2009=\u2009\u2212\u20090.06; 95% CI: (\u2212\u20090.11, \u2212\u20090.01); <jats:italic>P<\/jats:italic>\u2009=\u20090.02) revealed statistically significant differences. However, no significant differences were observed in biliary damage (RD\u2009=\u2009\u2212\u20090.03; 95% CI: (\u2212\u20090.06, 0.00); P\u2009=\u20090.06) and hemobilia (RD\u2009=\u2009\u2212\u20090.03; 95% CI: (\u2212\u20090.06, 0.00); <jats:italic>P<\/jats:italic>\u2009=\u20090.08).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The current meta\u2010analysis indicated that LHLL could be more effective and safer than LBDC. However, these results should be confirmed with a larger sample size and rigorously designed randomized controlled trials.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-06995-6","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T17:02:53Z","timestamp":1681232573000},"page":"1809-1820","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"47","author":[{"given":"Bin","family":"Liu","sequence":"first","affiliation":[{"name":"The First School of Clinical Medicine Lanzhou University 730000 Lanzhou Gansu Province China"},{"name":"Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology in Gansu Province Gansu Provincial Hospital 730000 Lanzhou 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