Publication

Systematic review: open, small-incision or laparoscopic cholecystectomy for symptomatic cholecystolithiasis

Keus, F., Gooszen, H. G. & Van Laarhoven, C. J. H. M., 15-Feb-2009, In : Alimentary Pharmacology & Therapeutics. 29, 4, p. 359-378 20 p.

Research output: Contribution to journalReview articleAcademicpeer-review

  • F. Keus
  • H. G. Gooszen
  • C. J. H. M. Van Laarhoven

Laparoscopic cholecystectomy has become the method of choice for gallbladder removal, although evidence of superiority over open and small-incision cholecystectomy is lacking.

To compare the effects of open, small-incision and laparoscopic cholecystectomy techniques for patients with symptomatic cholecystolithiasis.

We conducted updated searches until January 2007 in multiple databases. We assessed bias risk.

Fifty-nine trials randomized 5556 patients. No significant differences in primary outcomes (mortality and complications) were found among all three techniques. Both minimal invasive techniques show advantages over open cholecystectomy in terms of convalescence. Small-incision cholecystectomy showed shorter operative time compared with laparoscopic cholecystectomy (random effects, weighted mean difference, 16.4 min; 95% confidence interval, 8.9-23.8), but the two techniques did not differ regarding hospital stay and conversions.

No significant differences in mortality and complications were found among all three techniques. Laparoscopic cholecystectomy and small-incision cholecystectomy are preferred over open cholecystectomy for quicker convalescence. Laparoscopic cholecystectomy and small-incision cholecystectomy show no clear differences on patient outcomes.

Original languageEnglish
Pages (from-to)359-378
Number of pages20
JournalAlimentary Pharmacology & Therapeutics
Volume29
Issue number4
Publication statusPublished - 15-Feb-2009

    Keywords

  • RANDOMIZED CLINICAL-TRIAL, POSTOPERATIVE RESPIRATORY-FUNCTION, OPERATIVE STRESS-RESPONSE, PULMONARY-FUNCTION TESTS, MINIMAL ACCESS SURGERY, V OPEN CHOLECYSTECTOMY, ACUTE-PHASE RESPONSE, MINILAPAROTOMY CHOLECYSTECTOMY, CONVENTIONAL CHOLECYSTECTOMY, SEQUENTIAL-ANALYSIS

ID: 4831203