Abstract | OBJECTIVE: BACKGROUND: METHODS: RESULTS: Seven studies with a total of 1,408 patients undergoing laparoscopic cholecystectomy were found. The risks of conversion (RR 3.2, 95% CI 2.5 to 4.2) and overall postoperative complications (RR 1.6, 95% CI 1.2-2.2) were significantly higher in severe acute cholecystitis with respect to the nonsevere acute forms. However, no difference was detected as regards to local postoperative complications. No studies comparing open cholecystectomy or cholecystostomy with urgent laparoscopy were found. CONCLUSION: A lower feasibility of laparoscopic cholecystectomy has been found for severe cholecystitis. A lower threshold of conversion is recommended since this may allow to reduce local postoperative complications. Literature data lack valuable comparative studies with other treatment modalities, which therefore need to be investigated.
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Authors | Giuseppe Borzellino, Stefan Sauerland, Anna Maria Minicozzi, Giuseppe Verlato, Carlo Di Pietrantonj, Giovanni de Manzoni, Claudio Cordiano |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 22
Issue 1
Pg. 8-15
(Jan 2008)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 17704863
(Publication Type: Journal Article, Meta-Analysis, Review)
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Topics |
- Adult
- Age Distribution
- Cholangiography
- Cholecystectomy, Laparoscopic
(adverse effects, methods)
- Cholecystitis, Acute
(diagnostic imaging, epidemiology, surgery)
- Female
- Follow-Up Studies
- Humans
- Incidence
- Italy
(epidemiology)
- Length of Stay
- Male
- Middle Aged
- Minimally Invasive Surgical Procedures
(adverse effects, methods)
- Pain Measurement
- Pain, Postoperative
(physiopathology)
- Risk Assessment
- Severity of Illness Index
- Sex Distribution
- Treatment Outcome
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