{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T11:55:24Z","timestamp":1768564524772,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T00:00:00Z","timestamp":1618185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Left lateral hepatic resection is the preferred surgical approach for treating left hepatolithiasis. However, it is not clear whether cholangioscopy via left hepatic duct (LHD) orifice can replace conventional common bile duct (CBD) approach during laparoscopic procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a comprehensive literature search by screening medical databases, then compared perioperative outcomes and occurrence of recurrent stones between LHD and CBD approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of five studies, comprising 345 patients, were included in this meta\u2010analysis. The reported operative times, intra\u2010operative blood loss and incidence of post\u2010operative complications were comparable between the approaches. Pooled results revealed a positive correlation between LHD approach with shorter length of hospital stay (standard mean difference\u00a0=\u00a0\u22121.36; 95% confidence interval: \u22122.10, \u22120.61; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Additionally, bile duct exploration via LHD orifice was associated with similar rate of recurrent stones and cholangitis across both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results demonstrated that biliary tract exploration via LHD stump can be safely performed in left\u2010sided hepatolithiasis. Additionally, the LHD approach was associated with comparable intra\u2010operative outcomes and shorter post\u2010operative hospitalization relative to CBD approach, and does not increase incidence of stone recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16856","type":"journal-article","created":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T13:53:04Z","timestamp":1618235584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Biliary tract exploration via left hepatic duct stump versus the common bile duct incision in left\u2010sided hepatolithiasis: a meta\u2010analysis"],"prefix":"10.1111","volume":"91","author":[{"given":"Rui","family":"Li","sequence":"first","affiliation":[{"name":"Department of General Surgery The Second Hospital of Lanzhou  Lanzhou 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