Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis

Machine translation Machine translation
类别 Systematic review
期刊BRITISH JOURNAL OF SURGERY
Year 2010
連結 Pubmed, DOI
背景::急性胆囊炎腹腔镜胆囊切除术，在许多国家，主要表现急性发作后定居，因为预期的风险增加发病率和转换率较高，从腹腔镜，开腹胆囊切除术。 方法::有系统的检讨与早期腹腔镜胆囊切除术的临床随机试验的荟萃分析（ELC的;在1周内出现症状执行）执行与延迟急性胆囊炎腹腔镜胆囊切除术（至少6周后，症状解决执行）。试验确定了从Cochrane图书馆临床试验注册，医学文献，文摘，科学引文索引扩展和参考名单。根据意向性治疗分析95％的信心区间（CI）计算风险比（RR）或平均差。 结果::五项试验，451例被列入。有胆管损伤两组之间没有显着差异（RR = 0.64（95％CI0.15至2.65））或转换为开腹胆囊切除术（RR = 0.88（95％CI0.62至1.25））。总住院时间短ELC的4天（平均差异-4.12（95％CI为-5.22至-3.03）天）。 结论:: ELC的急性胆囊炎期间出现安全和缩短总住院。
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Epistemonikos ID: 8255079aa2bcd9e2965b1ecc915cd82d9a09c0c6
First added on: Jun 07, 2012
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