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

Keus, Frederik; Gooszen, Hein G.; Laarhoven, Cornelis J. H. M. van

doi:10.1111/j.1365-2036.2008.03894.x

Cited by 49 publications

(44 citation statements)

References 84 publications

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“…A subgroup analysis of high-quality trials showed a shorter operative time for the small-incision OC than LC (weighted mean difference, random effects 16.4 min, 95% CI: 8.9-23.8 min) [15]. Compared with the small-incision OC, the self-reported quality of life up to 30 days after LC is higher; 2326 (95% CI: 2187-2391) and 2411 (95% CI: 2334-2502), respectively, P = 0.03 [16].…”

Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

“…A meta-analysis comparing LC with the small-incision OC (the length of incision of less than 8 cm) demonstrated that both techniques had similar rates of mortality; intraoperative, minor and severe post-operative complications (without bile duct injuries, BDI); BDI; total complications; and post-operative convalescence [15]. A subgroup analysis of high-quality trials showed a shorter operative time for the small-incision OC than LC (weighted mean difference, random effects 16.4 min, 95% CI: 8.9-23.8 min) [15].…”

Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Beliaev¹,

Booth²

2016

Actual Problems of Emergency Abdominal Surgery

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Background: Laparoscopic cholecystectomy is the preferred surgical operation for symptomatic gallstone disease. Conversion of laparoscopic cholecystectomy to open surgery is used to prevent intra-abdominal organ injury, for open common bile duct exploration and to repair intra-abdominal organ injury. Objective:The objective of this chapter is to review risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery, and surgical quality outcome measures. Methods:A narrative literature review using Pubmed, Medline, Cochrane library databases and Google search engine is described.Results: From the literature review, patient-and surgeon-related risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery were identified. Patient-dependent risk factors included preoperative and intraoperative variables. Current conversion of laparoscopic cholecystectomy to open surgery predictive models use only patient-dependent risk factors and were not tested on an independent sample of patients. Surgical quality outcome measures incorporate an association between conversion and intra-abdominal organ injury that demonstrates that conversion was used as an emergency strategy to repair injuries rather than a safety measure. Conclusion:Conversion of laparoscopic cholecystectomy to open surgery risk stratification based on patient-and surgeon-dependent variables may allow a better management of the patient to keep conversion at low rates and to maintain benefits of minimally invasive surgery.

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Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Beliaev¹,

Booth²

2016

Actual Problems of Emergency Abdominal Surgery

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“…Bile duct injury, mainly incisions or damage from disconnection after misidentification of the common bile duct as the gallbladder duct, was reported [48]. Common bleeding sites included the cystic artery, gallbladder bed (located near branches of the middle hepatic vein), and hepatic artery [46][47][48]. These complications were most often related to the technical competence of the surgeon, the extent of inflammation or adhesion, or surgery being contained for too long [36,[48][49][50][51].…”

Section: Commentarymentioning

confidence: 99%

Evidence-based clinical practice guidelines for cholelithiasis 2016

Tazuma

Unno²,

Igarashi³

et al. 2016

J Gastroenterol

209

178

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Cholelithiasis is one of the commonest diseases in gastroenterology. Remarkable improvements in therapeutic modalities for cholelithiasis and its complications are evident. The Japanese Society of Gastroenterology has revised the evidence-based clinical practice guidelines for cholelithiasis. Forty-three clinical questions, for four categories-epidemiology and pathogenesis, diagnosis, treatments, and prognosis and complications-were selected, and a literature search was performed for the clinical questions with use of the MEDLINE, Cochrane, and Igaku Chuo Zasshi databases for the period between 1983 and June 2012. The guidelines were developed with use of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. This article preferentially describes the clinical management of cholelithiasis and its complications. Following description of the diagnosis performed stepwise through imaging modalities, treatments of cholecystolithiasis, choledocholithiasis, and hepatolithiasis are introduced along with a flowchart. Since there have been remarkable improvements in endoscopic treatments and surgical techniques, the guidelines ensure flexibility in choices according to the actual clinical environment. The revised clinical practice guidelines are appropriate for use by clinicians in their daily practice.

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“…Compared to an open approach, minimally invasive techniques have proven effective in reducing surgical trauma, thereby improving patient recovery and length of hospital stay [1,2]. Benefits of improved postoperative pain and cosmesis are now well established for many operations [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Single-Incision Laparoscopic Surgery (SILS) in Biliary and Pancreatic Diseases

et al. 2011

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Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. With the advent of laparoscopic surgery and its continuous development, the focus has shifted to 'scarless' surgery. In recent times, the innovative technique of single-incision laparoscopic surgery (SILS) has been applied in gallbladder removal and even more complex biliopancreatic procedures to further minimize the invasiveness of the surgery. Newer developments in laparoscopic equipments and instrumentation have helped to further evolve this field of minimally invasive surgery. Literature search was performed using the following online search engines: Google, Medline, PubMed, Cochrane, and the online Springer link library. The terms used for the search were as follows: SILS, LESS, singleincision laparoscopic surgery, single-port laparoscopic surgery, SILS cholecystectomy, and SILS pancreatic surgery. Articles that matched the search criteria were selected and extensively reviewed. Moreover, pertinent information on instrumentation and technology for SILS and LESS was obtained by accessing websites of manufacturers. Although SILS represents the search for an essentially scarless surgery, there is still not a widespread use and uniformity of this procedure. SILS is performed either by single-or multiple-port technique. In the present article, we present a review of the potential benefits, limitations, and risks of SILS in biliary and pancreatic diseases. There are many studies showing benefits in cholecystectomy. A few case reports have also emerged about its feasibility in procedures such as cystogastrostomy and limited pancreatic resection. Further research and development of this technique is needed to arrive at a tangible conclusion about the perceived benefits of SILS. Randomized studies to compare SILS with traditional laparoscopy are essential.

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

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

Cited by 49 publications

References 84 publications

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Evidence-based clinical practice guidelines for cholelithiasis 2016

Single-Incision Laparoscopic Surgery (SILS) in Biliary and Pancreatic Diseases

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