Gaik Si Quah; Guy Eslick<\/p>\n
ANZ Journal of Surgery. 86():65, MAY 2016<\/p>\n
Issn Print: 1445-1433<\/p>\n
Publication Date: 2016\/05\/01<\/p>\n
<\/p>\n
Purpose: Transvaginal cholecystectomy is one of the newest methods of performing cholecystectomy and its efficacy and safety has been controversial. The aim of this systemic review and meta-analysis was to review the available data comparing the safety and outcomes of transvaginal cholecystectomy (TVC) to the gold standard approach of laparoscopic cholecystectomy (LC).
\nMethodology: A comprehensive search of the online databases identified three prospective randomized studies and thirteen case- controlled studies or cohort studies that contained sufficient data on TVC. Data were extracted and pooled for analysis. We calculated pooled odds ratios (ORs) and 95 % confidence intervals using a random-effects model.
\nResults: The TVC group showed fewer overall complications (OR = 0.61, 95 % CI = 0.38 – 0.96, P = 0.03), post-operative complications (OR = 0.52, 95 % CI = 0.28 – 0.96, P = 0.04) including wound infections (OR = 0.29, 95 % CI = 0.09 – 0.99, P = 0.05) and reduced pain on day 1 – post-operative (p = 0.05). There was increased operative time in the TVC group (68.8 minutes vs 52.3 minutes, p = 0.03). There was no difference in rate of conversions, reoperations, biliary or hepatic injuries, time of return to normal activities or pain on day 3 post-operative.
\nConclusions: This meta-analysis of the current published data establishes the safety of TVC when performed by experienced surgeons and is associated with reduced overall complications and wound infections.<\/p>\n
<\/p>\n
\u0414\u0436\u0435\u0440\u0435\u043b\u043e:<\/strong><\/em>\u00a0https:\/\/insights.ovid.com\/crossref?an=00130494-201605001-00244&isFromRelatedArticle=Y<\/p>\n","protected":false},"excerpt":{"rendered":" TRANSVAGINAL CHOLECYSTECTOMY COMPARED TO TRADITIONAL LAPAROSCOPIC CHOLECYSTECTOMY: A COMPREHENSIVE SYSTEMATIC REVIEW AND META-ANALYSIS:\u00a0GS083P Gaik Si Quah; Guy Eslick ANZ Journal of Surgery. 86():65, MAY 2016 Issn Print: 1445-1433 Publication Date: 2016\/05\/01 Excerpt Purpose: Transvaginal cholecystectomy is one of the newest methods of performing cholecystectomy and its efficacy and safety has been controversial. The aim […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[590,23,591],"_links":{"self":[{"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/posts\/1773"}],"collection":[{"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1773"}],"version-history":[{"count":1,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/posts\/1773\/revisions"}],"predecessor-version":[{"id":1774,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=\/wp\/v2\/posts\/1773\/revisions\/1774"}],"wp:attachment":[{"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1773"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1773"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.drshevchuk.com.ua\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1773"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}