Remains of the day: Biliary complications related to single-port laparoscopic cholecystectomy.

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Ressource 1Download: WJG-20-843.pdf (1185.05 [Ko])
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_0F1FE320F081
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Remains of the day: Biliary complications related to single-port laparoscopic cholecystectomy.
Journal
World Journal of Gastroenterology
Author(s)
Allemann P., Demartines N., Schäfer M.
ISSN
1007-9327 (Electronic)
ISSN-L
1007-9327
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
20
Number
3
Pages
843-851
Language
english
Notes
Publication types: REVIEW , pdf : META-ANALYSIS
Abstract
AIM: To assesse the rate of bile duct injuries (BDI) and overall biliary complications during single-port laparoscopic cholecystectomy (SPLC) compared to conventional laparoscopic cholecystectomy (CLC).
METHODS: SPLC has recently been proposed as an innovative surgical approach for gallbladder surgery. So far, its safety with respect to bile duct injuries has not been specifically evaluated. A systematic review of the literature published between January 1990 and November 2012 was performed. Randomized controlled trials (RCT) comparing SPLC versus CLC reporting BDI rate and overall biliary complications were included. The quality of RCT was assessed using the Jadad score. Analysis was made by performing a meta-analysis, using Review Manager 5.2. This study was based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. A retrospective study including all retrospective reports on SPLC was also performed alongside.
RESULTS: From 496 publications, 11 RCT including 898 patients were selected for meta-analysis. No studies were rated as high quality (Jadad score ≥ 4). Operative indications included benign gallbladder disease operated in an elective setting in all studies, excluding all emergency cases and acute cholecystitis. The median follow-up was 1 mo (range 0.03-18 mo). The incidence of BDI was 0.4% for SPLC and 0% for CLC; the difference was not statistically different (P = 0.36). The incidence of overall biliary complication was 1.6% for SPLC and 0.5% for CLC, the difference did not reached statistically significance (P = 0.21, 95%CI: 0.66-15). Sixty non-randomized trials including 3599 patients were also analysed. The incidence of BDI reported then was 0.7%.
CONCLUSION: The safety of SPLC cannot be assumed, based on the current evidence. Hence, this new technology cannot be recommended as standard technique for laparoscopic cholecystectomy.
Pubmed
Web of science
Open Access
Yes
Create date
21/03/2014 18:57
Last modification date
28/04/2023 6:08
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