Laparoscopic cholecystectomy has become the method of choice for gallbladder removal.
However, evidence of superiority over open and small-incision cholecystectomy is lacking.
Dr Keus and colleagues from the Netherlands compared the effects of open, small-incision and laparoscopic cholecystectomy techniques for patients with symptomatic cholecystolithiasis.
The team conducted updated searches until 2007 in multiple databases, and assessed bias risk.
The researchers identified 59 trials randomizing 5556 patients.
No significant differences in primary outcomes were found among all three techniques.
Both minimal invasive techniques show advantages over open cholecystectomy in terms of convalescence.
|The 2 techniques did not differ regarding hospital stay |
|Alimentary Pharmacology & Therapeutics|
Small-incision cholecystectomy showed shorter operative time compared with laparoscopic cholecystectomy.
However, the 2 techniques did not differ regarding hospital stay and conversions.
Dr Keus’ team concluded, “No significant differences in mortality and complications were found among all 3 techniques.”
“Laparoscopic cholecystectomy and small-incision cholecystectomy are preferred over open cholecystectomy for quicker convalescence.”
“Laparoscopic cholecystectomy and small-incision cholecystectomy show no clear differences on patient outcomes.”