G Plasencia, J C Alvarado, C Z Corvera, W P Angulo
{"title":"[Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and meta-analysis].","authors":"G Plasencia, J C Alvarado, C Z Corvera, W P Angulo","doi":"10.17116/hirurgia202403154","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine if laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.</p><p><strong>Material and methods: </strong>A systematic review of randomized clinical trials in 3 databases measuring the efficacy of laparoscopic and open excision of choledochal cysts was performed. The authors considered international and national reports, whose results were analyzed in detail.</p><p><strong>Results: </strong>Mean duration of laparoscopic excision was 51 min, open excision - 35.4 min. Length of hospital-stay after laparoscopic excision ranged between 5 and 74 days, after open excision - between 7 and 146 days. Bile leakage rate was 1-2% and 4%, respectively. Laparoscopic excision was followed by lower complication rate. Morbidity and mortality in laparoscopic excision was 20% and 0%, in open excision - 60% and 3.3%, respectively.</p><p><strong>Conclusion: </strong>Laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"54-62"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202403154","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To determine if laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.
Material and methods: A systematic review of randomized clinical trials in 3 databases measuring the efficacy of laparoscopic and open excision of choledochal cysts was performed. The authors considered international and national reports, whose results were analyzed in detail.
Results: Mean duration of laparoscopic excision was 51 min, open excision - 35.4 min. Length of hospital-stay after laparoscopic excision ranged between 5 and 74 days, after open excision - between 7 and 146 days. Bile leakage rate was 1-2% and 4%, respectively. Laparoscopic excision was followed by lower complication rate. Morbidity and mortality in laparoscopic excision was 20% and 0%, in open excision - 60% and 3.3%, respectively.
Conclusion: Laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.
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