Small-incision versus open cholecystectomy for patients with symptomatic cholecystolithiasis
Sübutlu məlumatların xülasələri
05.09.2017 • Sonuncu dəyişiklik 05.09.2017
Editors
Small-incision and open cholecystectomy appear to be equivalent regarding risks of complications, but the latter method is associated with a significantly longer hospital stay.
A Cochrane review included 7 studies with a total of 571 subjects. The total complication proportions were respectively 9.9% and 9.3% in the small-incision and open group, which is not significantly different. There were also no significant differences considering severe complications and bile duct injuries. However, small-incision cholecystectomy had a shorter hospital stay (WMD -2.8 days (95% CI -4.9 to -0.6)) compared to open cholecystectomy.
Comment: The quality of evidence is downgraded by limitations in study quality.
Ədəbiyyat
- Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Small-incision versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev 2006 Oct 18;(4):CD004788.