Comparison of clinical safety and outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a meta-analysis.

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作者
类别 Systematic review
期刊TheScientificWorldJournal
Year 2014
目的:比较的临床安全性和早期腹腔镜胆囊切除术与延迟腹腔镜胆囊切除术治疗急性胆囊炎的成果。 方法:相关研究,从医学,文摘,和Cochrane图书馆的数据库中挑选,从发表的文章和评论的引用。七随机对照试验(早期腹腔镜胆囊切除术与延迟腹腔镜胆囊切除术)被选中。根据Cochrane协作常规荟萃分析被用于结果的池。 结果:七试验的1106例患者。有胆管损伤方面,两组间无差异显著(Peto比值比为0.49(95%可信区间0.05〜4.72); P = 0.54),或转为开放胆囊切除术(风险比0.91(95%可信区间0.69〜 1.20); P = 0.50)。总住院时间缩短了4天,早期腹腔镜胆囊切除术(平均差-4.12(95%置信区间-5.22至-3.03)天,P <0.00001)。 结论:在急性胆囊炎的早期腹腔镜胆囊切除术是安全,缩短总的住院时间。
Epistemonikos ID: f4d02082c1866fbf75fe8c3f386515ff4b6b980c
First added on: Aug 21, 2014
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