Laparoscopic cholecystectomy with or without percutaneous transhepatic gallbladder drainage for acute severe cholecystitis: a meta-analysis
10.3760/cma.j.issn.1007-8118.2019.12.007
- VernacularTitle: 直接行腹腔镜胆囊切除术与联合经皮经肝胆囊穿刺引流治疗急性重症胆囊炎的荟萃分析
- Author:
Chong ZHANG
1
;
Sisi SHEN
;
Minghui WANG
;
Jisheng LIU
;
Xuechang TIAN
Author Information
1. Department of General Surgery, Ansteel Group Hospital, Anshan 114000, Liaoning Province, China
- Publication Type:Journal Article
- Keywords:
Cholecystitis, acute;
Cholecystectomy, laparoscopic;
Treatment outcome;
Percutaneous transhepatic gallbladder drainage;
Meta-analysis
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(12):910-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare laparoscopic cholecystectomy (LC) with or without percutaneous transhepatic gallbladder drainage (PTGD) for acute severe cholecystitis.
Methods:According to the predefined inclusion and exclusion criteria, 23 articles were selected for this meta-analysis. All patients were treated with LC with or without PTGD. A meta-analysis was used to analyze the clinical efficacy.
Results:Compared with LC, all the surgical indicators of LC with PTGD were significantly better than LC alone (all P≤0.05), including the operation time: 95%CI(-27.24, -9.27); intraoperative blood loss: 95%CI(-50.25, -40.19); postoperative hospital stay: 95%CI(-3.63, -0.64); rates of conversion to open abdomen: OR=0.48, 95%CI(0.32, 0.74); rates of incision infection: OR=0.49, 95%CI(0.25, 0.99); drainage tube indwelling time: 95%CI(-2.07, -1.19); gastrointestinal function recovery time: 95%CI(-1.73, -0.77); rates of bile leakage: OR=0.23, 95%CI(0.12, 0.44); and rates of complications: OR=0.36, 95%CI(0.27, 0.48).
Conclusion:Compared with LC alone, PTGD+ LC is the preferred treatment for acute severe cholecystitis.
