Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 2 Date: 01 Jul 2024
Reviewer's report:
Review
In this manuscript, the authors perform investigated the role of T-tube cholangiography
and choledochoscopy in residual calculi after biliary surgery. They found that T-tube
cholangiography and choledochoscopy after biliary surgery had a good performance to enhance
the diagnostic accuracy of residual stones.
I have a concern about the novelty of this study.
1. The procedure of simultaneous choledochotomy and subsequent T-tube drainage is not a
standard procedure for cholelithiasis these days. Considering that the endoscopic procedure is a
minimally invasive treatment, this study does not have a reasonable rationale.
2. Although the results showed no significant difference between the two methods, the authors
concluded that simultaneous performance of T-tube cholangiography and choledochoscopy after
biliary surgery is recommended to enhance the diagnostic accuracy of residual stones and reduce
the incidence of bile duct stone remnants. This is not logical.
Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 2 Date: 01 Jul 2024
Reviewer's report:
Review
In this manuscript, the authors perform investigated the role of T-tube cholangiography
and choledochoscopy in residual calculi after biliary surgery. They found that T-tube
cholangiography and choledochoscopy after biliary surgery had a good performance to enhance
the diagnostic accuracy of residual stones.
I have a concern about the novelty of this study.
1. The procedure of simultaneous choledochotomy and subsequent T-tube drainage is not a
standard procedure for cholelithiasis these days. Considering that the endoscopic procedure is a
minimally invasive treatment, this study does not have a reasonable rationale.
2. Although the results showed no significant difference between the two methods, the authors
concluded that simultaneous performance of T-tube cholangiography and choledochoscopy after
biliary surgery is recommended to enhance the diagnostic accuracy of residual stones and reduce
the incidence of bile duct stone remnants. This is not logical.
Please review this paper.
user
Title: Diagnostic value of T-tube cholangiography and choledochoscopy in residual calculi after
biliary surgery
Version: 2 Date: 01 Jul 2024
Reviewer's report:
Review
In this manuscript, the authors perform investigated the role of T-tube cholangiography
and choledochoscopy in residual calculi after biliary surgery. They found that T-tube
cholangiography and choledochoscopy after biliary surgery had a good performance to enhance
the diagnostic accuracy of residual stones.
I have a concern about the novelty of this study.
1. The procedure of simultaneous choledochotomy and subsequent T-tube drainage is not a
standard procedure for cholelithiasis these days. Considering that the endoscopic procedure is a
minimally invasive treatment, this study does not have a reasonable rationale.
2. Although the results showed no significant difference between the two methods, the authors
concluded that simultaneous performance of T-tube cholangiography and choledochoscopy after
biliary surgery is recommended to enhance the diagnostic accuracy of residual stones and reduce
the incidence of bile duct stone remnants. This is not logical.
assistant