کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6251630 | 1611981 | 2015 | 12 صفحه PDF | دانلود رایگان |
- The residual and recurrence of gallstones was consumedly reduced.
- Patients were recovered faster from EMIC.
- Less complications were reported in patients who treated with EMIC.
- EMIC is better for patients whose gallbladder function is normal.
Introduction: Endoscopic minimal invasive cholecystolithotomy (EMIC) is recently popular in China which may offer advantages over laparoscopic cholecystectomy (LC). We try to find out the most favorable treatment for the patients underwent cholecystolithiasis. Methods: Databases PubMed, Elsevier, Wiley Online Library, The Cochrane library, CNKI, WanFang Data, and Chongqing VIP were searched for randomized controlled trials (RCTs) and on EMIC vs LC from 2009 to 2013. Odds ratio (OR), risk difference (RD) and weight mean difference (WMD) were calculated with 95% confidence intervals (CI). Results: 14 RCTs including 2030 patients were selected. No significant difference was present in operating time between EMIC and LC. EMIC shown significant less blood lost (WMD â23.45; 95% CI â30.34, â16.55; Z = 6.66; P < 0.00001) compared to LC. Shortened exhaust time (WMD â14.11; 95% CI â18.34, â9.88; Z = 6.53; P < 0.00001) and hospital stay (WMD â1.31; 95% CI â1.91, â0.71; Z = 4.29; P < 0.00001) were present in EMIC group. And EMIC shown decreased complication proportion (OR â0.14, 95% CI â0.09 to â0.21; Z = 8.53; P < 0.00001) in comparison with LC. There is no difference present in the recurrence of stones in two procedures but a significantly decreased recurrence rate of gallstones was present in EMIC compared to conventional cholecystolithotomy. Conclusion: Patients treated with EMIC shown faster recovery and less complication which were superior to LC.
Journal: International Journal of Surgery - Volume 13, January 2015, Pages 227-238