Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy?
Abstract Purpose This current study aimed to explore whether gastrectomy history influenced surgical outcomes while undergoing laparoscopic cholecystectomy (LC). Methods The PubMed, Embase, and Cochrane Library databases were searched for eligible studies from inception to April 29, 2023. The Newcas...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-023-02237-7 |
| _version_ | 1797578485502312448 |
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| author | Xin-Peng Shu Ze-Lin Wen Qing-Shu Li |
| author_facet | Xin-Peng Shu Ze-Lin Wen Qing-Shu Li |
| author_sort | Xin-Peng Shu |
| collection | DOAJ |
| description | Abstract Purpose This current study aimed to explore whether gastrectomy history influenced surgical outcomes while undergoing laparoscopic cholecystectomy (LC). Methods The PubMed, Embase, and Cochrane Library databases were searched for eligible studies from inception to April 29, 2023. The Newcastle–Ottawa Scale (NOS) was adopted to assess the quality of included studies. The mean differences (MDs) and 95% confidence intervals (CIs) were calculated for continuous variables, and the odds ratios (ORs) and 95% CIs were calculated for dichotomous variables. RevMan 5.4 was used for data analysis. Results Seven studies enrolling 8193 patients were eligible for the final pooling up analysis (380 patients in the previous gastrectomy group and 7813 patients in the non-gastrectomy group). The patients in the gastrectomy group were older (MD = 11.11, 95%CI = 7.80–14.41, P < 0.01) and had a higher portion of males (OR = 3.74, 95%CI = 2.92–4.79, P < 0.01) than patients in the non-gastrectomy group patients. Moreover, the gastrectomy group had longer LC operation time (MD = 34.17, 95%CI = 25.20–43.14, P < 0.01), a higher conversion rate (OR = 6.74, 95%CI = 2.17–20.26, P = 0.01), more intraoperative blood loss (OR = 1.96, 95%CI = 0.59–3.32, P < 0.01) and longer postoperative hospital stays (MD = 1.07, 95%CI = 0.38–1.76, P < 0.01) than the non-gastrectomy group. Conclusion Patients with a previous gastrectomy history had longer operation time, a higher conversion rate, more intraoperative blood loss, and longer postoperative hospital stays than patients without while undergoing LC. Surgeons should pay more attention to these patients and make prudent decisions to avoid worse surgical outcomes as much as possible. |
| first_indexed | 2024-03-10T22:23:33Z |
| format | Article |
| id | doaj.art-c3625c9ffba44b689780dd7e9c270bb7 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-10T22:23:33Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-c3625c9ffba44b689780dd7e9c270bb72023-11-19T12:12:48ZengBMCBMC Surgery1471-24822023-10-012311710.1186/s12893-023-02237-7Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy?Xin-Peng Shu0Ze-Lin Wen1Qing-Shu Li2Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Gastrointestinal Surgery, Chongqing Medical University, Yongchuan HospitalDepartment of Pathology, College of Basic Medicine, Chongqing Medical UniversityAbstract Purpose This current study aimed to explore whether gastrectomy history influenced surgical outcomes while undergoing laparoscopic cholecystectomy (LC). Methods The PubMed, Embase, and Cochrane Library databases were searched for eligible studies from inception to April 29, 2023. The Newcastle–Ottawa Scale (NOS) was adopted to assess the quality of included studies. The mean differences (MDs) and 95% confidence intervals (CIs) were calculated for continuous variables, and the odds ratios (ORs) and 95% CIs were calculated for dichotomous variables. RevMan 5.4 was used for data analysis. Results Seven studies enrolling 8193 patients were eligible for the final pooling up analysis (380 patients in the previous gastrectomy group and 7813 patients in the non-gastrectomy group). The patients in the gastrectomy group were older (MD = 11.11, 95%CI = 7.80–14.41, P < 0.01) and had a higher portion of males (OR = 3.74, 95%CI = 2.92–4.79, P < 0.01) than patients in the non-gastrectomy group patients. Moreover, the gastrectomy group had longer LC operation time (MD = 34.17, 95%CI = 25.20–43.14, P < 0.01), a higher conversion rate (OR = 6.74, 95%CI = 2.17–20.26, P = 0.01), more intraoperative blood loss (OR = 1.96, 95%CI = 0.59–3.32, P < 0.01) and longer postoperative hospital stays (MD = 1.07, 95%CI = 0.38–1.76, P < 0.01) than the non-gastrectomy group. Conclusion Patients with a previous gastrectomy history had longer operation time, a higher conversion rate, more intraoperative blood loss, and longer postoperative hospital stays than patients without while undergoing LC. Surgeons should pay more attention to these patients and make prudent decisions to avoid worse surgical outcomes as much as possible.https://doi.org/10.1186/s12893-023-02237-7Laparoscopic cholecystectomyGastrectomyOutcomes |
| spellingShingle | Xin-Peng Shu Ze-Lin Wen Qing-Shu Li Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? BMC Surgery Laparoscopic cholecystectomy Gastrectomy Outcomes |
| title | Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? |
| title_full | Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? |
| title_fullStr | Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? |
| title_full_unstemmed | Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? |
| title_short | Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy? |
| title_sort | does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy |
| topic | Laparoscopic cholecystectomy Gastrectomy Outcomes |
| url | https://doi.org/10.1186/s12893-023-02237-7 |
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