DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20182067

Laparoscopic versus open cholecystectomy

Norah Ahmed Al Mallohi, Moatez Khalaf Almofarreh, Basil Abdalruhman Alfarrah, Mohammed Basheer Albalbisi, Abdulrahim Mohammed Alamoudi, Mohammed Nasser Sharahili, Hanan Mohammed Alsharif, Rayan Mubarak M. Alomaim, Faris Adnan Mohammed Baawad, Abdulaziz Osama Abukhodair

Abstract


Background: Laparoscopic cholecystectomy has promptly emerged as a popular alternative to traditional open laparotomy and cholecystectomy. The Objective of the current meta-analysis is to evaluate the effect of Laparoscopic versus open cholecystectomy.

Methods: We conducted this meta-analysis using a comprehensive search of Cochrane database of systematic reviews, PubMed, Medline, EMBASE, and Cochrane central register of controlled trials till 15 March 2018 for studies that evaluated laparoscopic versus open cholecystectomy.

Results: Eleven studies have been included with a total of 80691 patients: 41485 in the laparoscopic and 39206 into the open cholecystectomy groups. Odds ratios were regularly on the side of laparoscopic operation, in terms of respiratory complications (OR=0.32, 95%CI: 0.34-2.64, p<0.0001), mortality (OR=0.19, 95%CI: 0.08-1.05, p<0.0001), and morbidity (OR=0.31, 95%CI: 0.11-0.45, p<0.0001).

Conclusions: Using laparoscopic cholecystectomy decreased morbidity, mortality, and respiratory complications rates. Large-scale and long-term randomized controlled trials in various populations must be carried out in future studies to deliver more significant evidence.


Keywords


Laparoscopic cholecystectomy, Open cholecystectomy, Surgery, Meta-analysis, Morbidity, Mortality

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