Your browser doesn't support javascript.
loading
Systematic review and meta-analysis of randomized controlled trials comparing single incision versus conventional laparoscopic appendectomy.
Clerveus, Michael; Morandeira-Rivas, Antonio; Moreno-Sanz, Carlos; Herrero-Bogajo, Maria Luz; Picazo-Yeste, Joaquin Salvelio; Tadeo-Ruiz, Gloria.
Afiliação
  • Clerveus M; Department of Surgery, "La Mancha Centro" General Hospital, Avd. de la Constitución nº 3. 13600, Alcázar de San Juan, Ciudad Real, Spain, michaelclerveus@yahoo.fr.
World J Surg ; 38(8): 1937-46, 2014 Aug.
Article em En | MEDLINE | ID: mdl-24682257
BACKGROUND: Single incision laparoscopic appendectomy (SILA) has been proposed as an alternative to conventional laparoscopic appendectomy (CLA). OBJECTIVE: The aim of this study was to evaluate the safety and efficacy of SILA when compared with CLA through a systematic review. METHODS: We performed an electronic search of EMBASE, PubMed, MEDLINE, and Cochrane Central Register of Controlled Trials. Randomized controlled trials (RCTs) that compared SILA with CLA were included. RESULTS: Six RCTs met eligibility criteria, which included a total of 800 patients, 401 in the SILA group and 399 in the CLA group. There were no significant differences in terms of overall complications (odds ratio [OR] 0.93; 95% confidence interval [CI] 0.59-1.47; p = 0.77). SILA had a higher technical failure rate (OR 3.30; 95% CI 1.26-8.65; p = 0.01) and required a longer operative time (mean difference [MD] 4.67; 95% CI 1.76-7.57; p = 0.002). SILA was associated with better cosmetic results (standardized MD -0.4; 95% CI -0.64 to -0.16; p = 0.001) and earlier return to normal activity (MD -0.64; 95% CI -1.09 to -0.20; p = 0.005), although these advantages should be taken with caution due to the small number of studies reporting these two items and the short follow-up in the evaluation of cosmetic results. There were no significant differences in terms of postoperative pain or length of hospital stay between groups. CONCLUSIONS: SILA is comparable to CLA in selected patients, although it is associated with a higher technical failure rate and longer operative time. Further randomized trials are needed to determine if SILA really offers benefits over CLA.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apendicectomia / Laparoscopia Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: World J Surg Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apendicectomia / Laparoscopia Tipo de estudo: Clinical_trials / Systematic_reviews Limite: Humans Idioma: En Revista: World J Surg Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos