Title: Residual Choledocholithiasis after Choledocholithotomy T-tube Drainage: What is the
best intervention Strategy?
Version: 3 Date: 15 Jul 2022
Reviewer's report:
Firstly I would like to congratulate the authors for penning an article.
But the very first question that need to be addressed before going further is - what is the role of
surgery in choledocholithiasis, when ERCP is the proven modality of treatment beyond doubt.
Queries pertaining to the article are
1. What were the indications of initial choledocholithiotomy in all these patients?
2. Non-standard terms used in the articles needs to be replaced ex: Plastic brace with plastic
stents, muddy stones with sludge and ERCP intubation with ERCP cannulation
3. Why nasobiliary drainage was considered in few subset of ERCP patients over plastic stents?
As nasobiliary drainage causes more discomfort to the patient
4. How T-tube sinus tract maturation was evaluated?
5. Authors comments on keeping 3 primary endpoints rather than one
6. As it is retrospective study, why was MRCP done for stone clearance documentation?
7. Why the laparoscopic group did had more hospital stay than laparotomy group? (As it is
expected shorter stay in laparoscopy group in general)
8. What were the symptoms in ERCP subgroup with stone recurrence? As sludge remain
asymptomatic in general and would have passed off with previous good sphincterotomy/plasty
Title: Residual Choledocholithiasis after Choledocholithotomy T-tube Drainage: What is the
best intervention Strategy?
Version: 3 Date: 15 Jul 2022
Reviewer's report:
Firstly I would like to congratulate the authors for penning an article.
But the very first question that need to be addressed before going further is - what is the role of
surgery in choledocholithiasis, when ERCP is the proven modality of treatment beyond doubt.
Queries pertaining to the article are
1. What were the indications of initial choledocholithiotomy in all these patients?
2. Non-standard terms used in the articles needs to be replaced ex: Plastic brace with plastic
stents, muddy stones with sludge and ERCP intubation with ERCP cannulation
3. Why nasobiliary drainage was considered in few subset of ERCP patients over plastic stents?
As nasobiliary drainage causes more discomfort to the patient
4. How T-tube sinus tract maturation was evaluated?
5. Authors comments on keeping 3 primary endpoints rather than one
6. As it is retrospective study, why was MRCP done for stone clearance documentation?
7. Why the laparoscopic group did had more hospital stay than laparotomy group? (As it is
expected shorter stay in laparoscopy group in general)
8. What were the symptoms in ERCP subgroup with stone recurrence? As sludge remain
asymptomatic in general and would have passed off with previous good sphincterotomy/plasty
Please review this paper.
user
Title: Residual Choledocholithiasis after Choledocholithotomy T-tube Drainage: What is the
best intervention Strategy?
Version: 3 Date: 15 Jul 2022
Reviewer's report:
Firstly I would like to congratulate the authors for penning an article.
But the very first question that need to be addressed before going further is - what is the role of
surgery in choledocholithiasis, when ERCP is the proven modality of treatment beyond doubt.
Queries pertaining to the article are
1. What were the indications of initial choledocholithiotomy in all these patients?
2. Non-standard terms used in the articles needs to be replaced ex: Plastic brace with plastic
stents, muddy stones with sludge and ERCP intubation with ERCP cannulation
3. Why nasobiliary drainage was considered in few subset of ERCP patients over plastic stents?
As nasobiliary drainage causes more discomfort to the patient
4. How T-tube sinus tract maturation was evaluated?
5. Authors comments on keeping 3 primary endpoints rather than one
6. As it is retrospective study, why was MRCP done for stone clearance documentation?
7. Why the laparoscopic group did had more hospital stay than laparotomy group? (As it is
expected shorter stay in laparoscopy group in general)
8. What were the symptoms in ERCP subgroup with stone recurrence? As sludge remain
asymptomatic in general and would have passed off with previous good sphincterotomy/plasty
assistant