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Open versus laparoscopic surgery in the management of patients with gallbladder cancer: A systematic review and meta-analysis.
Nakanishi, Hayato; Miangul, Shahid; Oluwaremi, Timothy T; Sim, Bernice L; Hong, Sam S; Than, Christian A.
Afiliação
  • Nakanishi H; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus. Electronic address: nakanishi.h@live.sgul.ac.cy.
  • Miangul S; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus.
  • Oluwaremi TT; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus.
  • Sim BL; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus.
  • Hong SS; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus.
  • Than CA; St George's University of London, London, SW17 0RE, UK; University of Nicosia Medical School, University of Nicosia, 2417, Nicosia, Cyprus; School of Biomedical Sciences, The University of Queensland, St Lucia, 4072, Brisbane, Australia.
Am J Surg ; 224(1 Pt B): 348-357, 2022 07.
Article em En | MEDLINE | ID: mdl-35256156
ABSTRACT

BACKGROUND:

The aim of this meta-analysis was to assess the safety and efficacy of laparoscopic surgery when compared to open surgery in the management of gallbladder cancer.

METHODS:

Ovid Cochrane Library, Medline, Embase, Epub, and Scopus were searched. A meta-analysis of selected studies was performed, and a subgroup analysis was performed by tumor stage.

RESULTS:

Fourteen studies met the eligibility criteria with a total of 1792 participants undergoing either laparoscopic or open surgery. Survival rate of laparoscopic group was higher than open group at T2 tumor stage after 1 year (OR = 2.130, 95%CI 1.372, 3.306, I2 = 0%) and 2 year (OR = 2.074, 95%CI 1.411, 3.050, I2 = 0%) as well as T3 tumor stage after 1 year (OR = 2.805, 95%CI 1.631, 4.826, I2 = 0%) and 2 year (OR = 2.453, 95%CI 1.367, 4.400, I2 = 0%). Additionally, overall recurrence rate between laparoscopic and open cohorts was similar (OR 1.098, 95%CI 0.774, 1.558, I2 = 5.56%).

CONCLUSION:

In comparison to open surgery, the results seem to show a trend favoring laparoscopic surgery as a possible alternative treatment option to commence the management of gallbladder cancer.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Carcinoma in Situ / Colecistectomia Laparoscópica / Laparoscopia / Neoplasias da Vesícula Biliar Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Carcinoma in Situ / Colecistectomia Laparoscópica / Laparoscopia / Neoplasias da Vesícula Biliar Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article