Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis
Patients and Methods: A systematic review and meta-analysis was performed (PROSPERO ID CRD42022374610). The primary outcome was to determine the impact of pre-operative VLCD on the operative findings and ease of dissection during laparoscopic cholecystectomy (LC). Results: Two studies were included...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=1;epage=6;aulast=Hughes |
| _version_ | 1797222366535745536 |
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| author | Daniel Llwyd Hughes Mohamed Elmasry Iain Wilson Jihène El Kafsi |
| author_facet | Daniel Llwyd Hughes Mohamed Elmasry Iain Wilson Jihène El Kafsi |
| author_sort | Daniel Llwyd Hughes |
| collection | DOAJ |
| description | Patients and Methods: A systematic review and meta-analysis was performed (PROSPERO ID CRD42022374610). The primary outcome was to determine the impact of pre-operative VLCD on the operative findings and ease of dissection during laparoscopic cholecystectomy (LC).
Results: Two studies were included with a total of 84 patients. VLCD was associated with a significantly easier Calot's dissection (MD: −0.58 (95% confidence interval [CI] [ −1.03, -0.13], P = 0.01) and was associated with a significantly higher rate of pre-operative weight loss (MD; 2.92 (95% CI [2.23, 3.62], P = 0.00001).
Conclusions: The published evidence regarding VLCD before cholecystectomy in obese patients is limited. After acknowledging the limitations of the data, VLCD is associated with a significantly higher rate of weight loss preoperatively and directly impacts the ease of intraoperative dissection of Calot's triangle. Routine use of VLCD should be considered for all obese patients undergoing elective LC. |
| first_indexed | 2024-03-07T21:35:27Z |
| format | Article |
| id | doaj.art-3fe8ddaef51c42c1b7465afe0ec800af |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-24T13:20:11Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-3fe8ddaef51c42c1b7465afe0ec800af2024-04-04T16:19:15ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212024-01-012011610.4103/jmas.jmas_142_23Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysisDaniel Llwyd HughesMohamed ElmasryIain WilsonJihène El KafsiPatients and Methods: A systematic review and meta-analysis was performed (PROSPERO ID CRD42022374610). The primary outcome was to determine the impact of pre-operative VLCD on the operative findings and ease of dissection during laparoscopic cholecystectomy (LC). Results: Two studies were included with a total of 84 patients. VLCD was associated with a significantly easier Calot's dissection (MD: −0.58 (95% confidence interval [CI] [ −1.03, -0.13], P = 0.01) and was associated with a significantly higher rate of pre-operative weight loss (MD; 2.92 (95% CI [2.23, 3.62], P = 0.00001). Conclusions: The published evidence regarding VLCD before cholecystectomy in obese patients is limited. After acknowledging the limitations of the data, VLCD is associated with a significantly higher rate of weight loss preoperatively and directly impacts the ease of intraoperative dissection of Calot's triangle. Routine use of VLCD should be considered for all obese patients undergoing elective LC.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=1;epage=6;aulast=Hugheslaparoscopic cholecystectomyliver shrinkage dietobesityvery low-calorie diet |
| spellingShingle | Daniel Llwyd Hughes Mohamed Elmasry Iain Wilson Jihène El Kafsi Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis Journal of Minimal Access Surgery laparoscopic cholecystectomy liver shrinkage diet obesity very low-calorie diet |
| title | Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis |
| title_full | Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis |
| title_fullStr | Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis |
| title_full_unstemmed | Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis |
| title_short | Evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy: A systematic review and meta-analysis |
| title_sort | evaluating the evidence for a liver shrinkage diet for obese patients prior to laparoscopic cholecystectomy a systematic review and meta analysis |
| topic | laparoscopic cholecystectomy liver shrinkage diet obesity very low-calorie diet |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=1;epage=6;aulast=Hughes |
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