Title: Feasibility of Cholecystectomy in Patients with Silent Common Bile Duct Stones Cohort
prospective single arm multicentre study
Version: 5 Date: 02 Oct 2024
Reviewer:  Roberto Campagnacci
Reviewer's report:
this study is focused on  very interesting and debated issue over the natural history of CBDstones
incidentally diagnosed during lap choley recovery. The percentage of PEP after ERCP seems to
be higher than the wait and see strategy. We know that PEP have a wide range of seriousness,
from oedema to necrotic pencreatatits, which is a life threatening condition. In this way, wait
and see is better than ERCP. However, the medical legal implication is a worrying feature for
the surgeon in a lot of countries in the world, so that the problem solving choice remains the
best procedure the best option capable protecting against claims. The ERCP strategy doesn’t
budge until there are complications, as serious post ERCP pancreatitis, so that the wait and
see strategy better investigated and better supported by extensive studies could represent an
alternative reliable choice.
In my opinion the conclusion are balanced and the case study is whorty of publication,
underscoring the need of further confirmation.
Title: Feasibility of Cholecystectomy in Patients with Silent Common Bile Duct Stones Cohort
prospective single arm multicentre study
Version: 5 Date: 02 Oct 2024
Reviewer:  Roberto Campagnacci
Reviewer's report:
this study is focused on  very interesting and debated issue over the natural history of CBDstones
incidentally diagnosed during lap choley recovery. The percentage of PEP after ERCP seems to
be higher than the wait and see strategy. We know that PEP have a wide range of seriousness,
from oedema to necrotic pencreatatits, which is a life threatening condition. In this way, wait
and see is better than ERCP. However, the medical legal implication is a worrying feature for
the surgeon in a lot of countries in the world, so that the problem solving choice remains the
best procedure the best option capable protecting against claims. The ERCP strategy doesn’t
budge until there are complications, as serious post ERCP pancreatitis, so that the wait and
see strategy better investigated and better supported by extensive studies could represent an
alternative reliable choice.
In my opinion the conclusion are balanced and the case study is whorty of publication,
underscoring the need of further confirmation.
Please review this paper.
user
Title: Feasibility of Cholecystectomy in Patients with Silent Common Bile Duct Stones Cohort
prospective single arm multicentre study
Version: 5 Date: 02 Oct 2024
Reviewer:  Roberto Campagnacci
Reviewer's report:
this study is focused on  very interesting and debated issue over the natural history of CBDstones
incidentally diagnosed during lap choley recovery. The percentage of PEP after ERCP seems to
be higher than the wait and see strategy. We know that PEP have a wide range of seriousness,
from oedema to necrotic pencreatatits, which is a life threatening condition. In this way, wait
and see is better than ERCP. However, the medical legal implication is a worrying feature for
the surgeon in a lot of countries in the world, so that the problem solving choice remains the
best procedure the best option capable protecting against claims. The ERCP strategy doesn’t
budge until there are complications, as serious post ERCP pancreatitis, so that the wait and
see strategy better investigated and better supported by extensive studies could represent an
alternative reliable choice.
In my opinion the conclusion are balanced and the case study is whorty of publication,
underscoring the need of further confirmation.
assistant