摘要
Abstract
Objective To evaluate the safety of transumbilical single-incision laparoscopic cholecystectomy. Methods Cochrane library (No.l 2011), PubMed (1978-2011), EMBase (1978-2011) and CNKI (1978-2011) were searched for randomized controlled trials on the efficacy of transumbilical singleincision laparoscopic cholecystectomy (SILC) versus conventional laparoscopic holecystectomy (CLC) for the treatment of benign gallbladder disease. According to the inclusion criteria, eight studies were selected. Two authors cited the details about the designs of the trials, identities of the participants and the outcomes from the studies included independently. The data were analyzed by Revman 5.1 software. Results Operating time in the SILS group was longer than that in the CLC group significantly (weighted mean difference =8.03, 95% confidence interval (6.02, 10.03) , P<0.01). There was no signi fi cant difference in the introoperative blood loss [weighted mean difference=2.41, 95% confidence interval ( 5.66, 0.83) , P=(X15], postoperative hospital stay [weighted=0.15, 95% confidence interval ( -0.06, 0.37) , P=0.16] and the postoperative complications incidence [relative risk=1.21, 95% confidence interval (0.53, 2.78),P=0.69] between the two groups. Conclusion SILC is a safe procedure for the treatment of uncomplicated gallstone disease, especially for cosmetic purpose.关键词
经脐单孔腹腔镜胆囊切除术/腹腔镜胆囊切除术/Meta分析Key words
transumbilical singleincision laparoscopic cholecystectomy/ laparoscopic cholecystectomy/ Metaanalysis分类
医药卫生