Laparoscopic versus open cholecystectomy

Authors

  • Norah Ahmed Al Mallohi Unaizah College of Medicine, Saudi Arabia
  • Moatez Khalaf Almofarreh Aljouf University, Saudi Arabia
  • Basil Abdalruhman Alfarrah Almaarefa Colleges, Saudi Arabia
  • Mohammed Basheer Albalbisi King Abdulaziz University, Saudi Arabia
  • Abdulrahim Mohammed Alamoudi King Abdulaziz University, Saudi Arabia
  • Mohammed Nasser Sharahili King Saud bin Abdulaziz University for health sciences, Saudi Arabia
  • Hanan Mohammed Alsharif Batterjee Medical College, Saudi Arabia
  • Rayan Mubarak M. Alomaim Royal College of Surgeons, Ireland
  • Faris Adnan Mohammed Baawad King Abdulaziz University, Saudi Arabia
  • Abdulaziz Osama Abukhodair King Abdulaziz University, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20182067

Keywords:

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

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.

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Published

2018-05-22

How to Cite

Al Mallohi, N. A., Almofarreh, M. K., Abdalruhman Alfarrah, B., Albalbisi, M. B., Alamoudi, A. M., Sharahili, M. N., Alsharif, H. M., Alomaim, R. M. M., Baawad, F. A. M., & Abukhodair, A. O. (2018). Laparoscopic versus open cholecystectomy. International Journal Of Community Medicine And Public Health, 5(6), 2217–2221. https://doi.org/10.18203/2394-6040.ijcmph20182067

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Original Research Articles