Comparison of Clinical Safety and Outcomes of Early versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Meta-Analysis
Joint Authors
Gu, Xiaodong
Zhou, Min-Wei
Chen, Zongyou
Xiang, Jianbin
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-14
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Objective.
To compare the clinical safety and outcomes of early laparoscopic cholecystectomy versus delayed laparoscopic cholecystectomy for acute cholecystitis.
Methods.
Pertinent studies were selected from the Medline, EMBASE, and Cochrane library databases, references from published articles, and reviews.
Seven randomized controlled trials (early laparoscopic cholecystectomy versus delayed laparoscopic cholecystectomy) were selected.
Conventional meta-analysis according to Cochrane Collaboration was used for the pooling of the results.
Results.
Seven trials with 1106 patients were included.
There was no significant difference between the two groups in terms of bile duct injury (Peto odds ratio 0.49 (95% confidence interval 0.05 to 4.72); P=0.54) or conversion to open cholecystectomy (risk ratio 0.91 (95% confidence interval 0.69 to 1.20); P=0.50).
The total hospital stay was shorter by 4 days for early laparoscopic cholecystectomy (mean difference −4.12 (95% confidence interval −5.22 to −3.03) days; P<0.00001).
Conclusion.
Early laparoscopic cholecystectomy during acute cholecystitis is safe and shortens the total hospital stay.
American Psychological Association (APA)
Zhou, Min-Wei& Gu, Xiaodong& Xiang, Jianbin& Chen, Zongyou. 2014. Comparison of Clinical Safety and Outcomes of Early versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Meta-Analysis. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1049018
Modern Language Association (MLA)
Zhou, Min-Wei…[et al.]. Comparison of Clinical Safety and Outcomes of Early versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Meta-Analysis. The Scientific World Journal No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1049018
American Medical Association (AMA)
Zhou, Min-Wei& Gu, Xiaodong& Xiang, Jianbin& Chen, Zongyou. Comparison of Clinical Safety and Outcomes of Early versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Meta-Analysis. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1049018
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1049018