急性结石性胆囊炎腹腔镜手术时机选择的Meta分析

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Abstract Objective: To evaluate the effects of different optional time leading to complication and conversion to laparotomy by laparoscopic cholecystectomy in acute calculous cholecystitis. Methods: Search all of domestic and international research literatures on different optional time by laparoscopic cholecystectomy about the Chinese from 1991 to 2013. The random effects model was selected for conducting the meta-analysis, to calculate the OR and 95%CI of different optional time leading to complication and conversion to laparotomy. Results: Overall 23 articles were eligible and were included into the meta-analysis, There was significant statistical difference in complication (OR=0.47, 95%CI=0.35~0.62, P<0.001) and conversion to laparotomy (OR=0.27, 95%CI=0.20~0.37, P<0.001) between the <72 h group and >72 h group. Conclusion: Meta-analysis shows that in the laparoscopic cholecystectomy progress, the surgical outcome is best within 72 h, which can reduce the complication and decline the conversion.

Key words： acute cholecystitis laparoscopic cholecystectomy optional time Meta-analysis

Received: 10 April 2014

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	WU Xiaoying
	WU Yuewu
	WU Qi
	ZHAN Weihua
	SHI Jianfeng
	CHEN Yiqi.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2015/V45/I4/304

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