Single-incision versus conventional laparoscopic cholecystectomy: a meta-analysis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 308-313, 2013.
Artículo
en Chino
| WPRIM
| ID: wpr-247847
ABSTRACT
<p><b>OBJECTIVE</b>To study feasibility and security of single-incision laparoscopic cholecystectomy (SILC).</p><p><b>METHODS</b>Clinical trials comparing SILC with conventional laparoscopic cholecystectomy (LC) for benign gallbladder disease published from 2010 to 2012 were retrieved. A meta-analysis was conducted to evaluate operative time, blood loss, conversion rate, post-operative pain, wound satisfaction score, post-operative hospital stay and post-operative complications between SILC group and LC group. A fixed effect model or random effect model was established to collect the data.</p><p><b>RESULTS</b>Eleven random clinical trials on 859 patients qualified for the meta-analysis, 449 patients being allocated to SILC and 410 patients to LC. There was no significant difference between SILC group and LC group for blood loss, conversion rate, post-operative pain, post-operative hospital stay and post-operative complications. However, operative time was significantly longer in SILC group than LC group (IV = 16.66, 95%CI 9.60 - 23.72, Z = 4.62, P = 0.00). Furthermore, wound satisfaction score was significantly higher in SILC group than in LC group (IV = 0.95, 95%CI 0.56 - 1.34, Z = 4.76, P = 0.00).</p><p><b>CONCLUSIONS</b>SILC may be superior to LC in terms of cosmetic outcome, but not in operative time. Currently, SILC is a safe procedure for proper patients in experienced surgeons.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Ensayos Clínicos Controlados Aleatorios como Asunto
/
Epidemiología
/
Resultado del Tratamiento
/
Colecistectomía Laparoscópica
/
Tempo Operativo
/
Tiempo de Internación
/
Métodos
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio pronóstico
/
Revisiones Sistemáticas Evaluadas
Límite:
Humanos
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2013
Tipo del documento:
Artículo
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