کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278679 1611505 2014 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis
چکیده انگلیسی

BackgroundThe feasibility and safety of low-pressure pneumoperitoneum in laparoscopic cholecystectomy remain unclear.MethodsA meta-analysis of randomized controlled trials comparing low-pressure with standard-pressure pneumoperitoneum was performed.ResultsA total of 1,263 patients were included. Low-pressure pneumoperitoneum was associated with significantly decreased postoperative pain. The requirement for increased pressure was significantly greater in the low-pressure group (risk ratio = 6.16; P < .001). Operative time was similar, with only a slight statistical significance (weighted mean difference = 2.07; P < .001). Length of hospital stay was shorter in the low-pressure group (weighted mean difference = −.27; P = .01). No significant differences were found in surgical complications or conversion to open surgery.ConclusionsLow-pressure pneumoperitoneum is feasible and safe and results in reduced postoperative pain and near-equal operative time compared with standard-pressure pneumoperitoneum. More studies are required to investigate the potential benefits of the reduced length of hospital stay.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 208, Issue 1, July 2014, Pages 143–150
نویسندگان
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