{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:56:45Z","timestamp":1792180605090,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The effectiveness of endoscopic transpapillary gallbladder drainage (ETGBD), percutaneous gallbladder drainage (PTGBD), and endoscopic ultrasound\u2010guided gallbladder drainage (EUS\u2010GBD) for treating acute cholecystitis in individuals with elevated surgical risk is not yet thoroughly evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical success, technical success, and rates of adverse events for these three therapies were assessed using a random\u2010effects model in a network meta\u2010analysis of 2254 patients from 17 trials. We computed risk ratios (RR), 95% confidence intervals (CI), and standard mean differences (SMD), and treatments were ranked using P\u2010scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PTGBD and EUS\u2010GBD demonstrated superior technical success rates compared to ETGBD (ETGBD vs. EUS\u2010GBD: 95% CI: 0.80\u20130.88, RR\u2009=\u20090.85; ETGBD vs. PTGBD: 95% CI: 0.79\u20130.86, RR\u2009=\u20090.83). Similarly, PTGBD and EUS\u2010GBD achieved greater rates of clinical success than ETGBD (ETGBD vs. EUS\u2010GBD: 95% CI: 0.75\u20130.86, RR\u2009=\u20090.81; ETGBD vs. PTGBD: 95% CI: 0.78\u20130.90, RR\u2009=\u20090.83). Procedure\u2010related adverse effects did not differ among these three modalities. Based on ranking estimates, although EUS\u2010GBD had the smallest likelihood of adverse events and was predicted to provide maximum clinical success, the highest technical success was probably anticipated from PTGBD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Endoscopic gallbladder drainage (EUS\u2010GBD or ETGBD) is a preferred first\u2010line option in centers with advanced endoscopic expertise. PTGBD remains a valuable alternative when such expertise is not available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70438","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T09:41:12Z","timestamp":1767174072000},"page":"412-421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of Three Gallbladder Drainage Methods for Acute Cholecystitis: A Systematic Review With Network Meta\u2010Analysis"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-3651","authenticated-orcid":false,"given":"Lingbo","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University  Taizhou Zhejiang China"},{"name":"Department of Hepatopancreatobiliary Surgery Enze Hospital, Taizhou Enze Medical Center (Group)  Taizhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongfu","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University  Taizhou Zhejiang China"},{"name":"Department of Hepatopancreatobiliary Surgery Enze Hospital, Taizhou Enze Medical Center (Group)  Taizhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University  Taizhou Zhejiang China"},{"name":"Department of Hepatopancreatobiliary Surgery Enze Hospital, Taizhou Enze Medical Center (Group)  Taizhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingli","family":"Qiao","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University  Taizhou Zhejiang China"},{"name":"Department of Hepatopancreatobiliary Surgery Enze Hospital, Taizhou Enze Medical Center (Group)  Taizhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiqiang","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University  Taizhou Zhejiang China"},{"name":"Department of Hepatopancreatobiliary Surgery Enze Hospital, Taizhou Enze Medical Center (Group)  Taizhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365521.2022.2118554"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1020-3932"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09712-x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v28.i27.3514"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2020.09.040"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6406-7"},{"issue":"4","key":"e_1_2_9_8_1","first-page":"340","article-title":"Open Surgical Repair for Chronic Type B Aortic Dissection: A Systematic Review","volume":"3","author":"Tian D. 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