Comparison of laparoscopic cholecystectomy in children at paediatric centres and adult centres: a systematic review and meta-analysis

Sinha, A; Mattson, A; Njere, I; Sinha, CK

doi:10.1308/rcsann.2023.0041

Cited by 1 publication

(1 citation statement)

References 49 publications

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“…The primary goal of this surgery is to completely remove the gallstones to prevent recurrence and the development of complications. 31 The pathological features that distinguish cholecystitis from cholelithiasis include edema, necrosis, and ulceration of the gallbladder wall mucosa. As inflammation progresses, the gallbladder wall may thicken, harden, and exhibit changes such as adhesions, potentially leading to serious complications like perforation and abscess formation.…”

Section: Discussionmentioning

confidence: 99%

Effects of Indocyanine Green (ICG) Imaging-Assisted Cholecystectomy on Intraoperative and Postoperative Complications: A meta-Analysis

Tang,

Liu,

Liu

et al. 2024

Surg Innov

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Background Accurate recognition of Calot’s triangle during cholecystectomy is important in preventing intraoperative and postoperative complications. The use of indocyanine green (ICG) fluorescence imaging has become increasingly prevalent in cholecystectomy procedures. Our study aimed to evaluate the specific effects of ICG-assisted imaging in reducing complications. Materials and Methods A comprehensive search of databases including PubMed, Web of Science, Europe PMC, and WANFANGH DATA was conducted to identify relevant articles up to July 5, 2023. Review Manager 5.3 software was applied to statistical analysis. Results Our meta-analysis of 14 studies involving 3576 patients compared the ICG group (1351 patients) to the control group (2225 patients). The ICG group had a lower incidence of postoperative complications (4.78% vs 7.25%; RR .71; 95%CI: .54-.95; P = .02). Bile leakage was significantly reduced in the ICG group (.43% vs 2.02%; RR = .27; 95%CI: .12-.62; I2 = 0; P = .002), and they also had a lower bile duct drainage rate (24.8% vs 31.8% RR = .64, 95% CI: .44-.91, P = .01). Intraoperative complexes showed no statistically significant difference between the 2 groups (1.16% vs 9.24%; RR .17; 95%CI .03-1.02), but the incidence of intraoperative bleeding is lower in the ICG group. Conclusion ICG fluorescence imaging-assisted cholecystectomy was associated with a range of benefits, including a lower incidence of postoperative complications, decreased rates of bile leakage, reduced bile duct drainage, fewer intraoperative complications, and reduced intraoperative bleeding.

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Section: Discussionmentioning

confidence: 99%