This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Pilot randomized controlled trial of laparoscopic cholecystectomy vs active nonoperative therapy for the treatment of biliary dyskinesia. J Am Coll Surg 2016; 222: 1156–1163.

Published: 25th August 2016

Authors: Richmond BK, Grodman C, Walker J, Dean S, Tiley EH, Hamrick RE et al.

Conclusion

The authors had difficulty recruiting due to both clinician and patient bias. Thirty patients were randomized, but 14/15 of those allocated to nonoperative treatment crossed over to surgery. All 26 patients who had surgery reported improvement in symptoms.

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