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首页> 外文期刊>Surgical Endoscopy >Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case-control studies
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Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case-control studies

机译：早期腹腔镜胆囊切除术优于迟发性急性胆囊炎：病例对照研究的荟萃分析

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Background Since the advent of laparoscopic cholecystectomy (LC) there has been continued debate regarding the management of acute cholecystitis with either early or delayed LC. Nearly all studies have demonstrated that early LC has a significantly shorter total length of hospital stay compared with delayed LC. Although previous randomized controlled trials and meta-analysis have shown clinical outcomes to favour early surgery, clinical practice continues to vary significantly worldwide. In addition, there is much confusion in the optimal timing for early LC with definitions of early varying from 72 h to 7 days. There have been numerous case-control studies investigating the timing of LC in acute cholecystitis. The aim of this paper is to pool the results from all case-control studies to investigate outcomes including mortality rates, complication rates, length of hospital stay and conversion rates to open procedures.
机译：背景技术自从腹腔镜胆囊切除术（LC）问世以来，关于早期或延迟LC治疗急性胆囊炎的争论一直持续。几乎所有研究都表明，与延迟LC相比，早期LC的总住院时间明显缩短。尽管以前的随机对照试验和荟萃分析显示临床结局有利于早期手术，但全球范围内的临床实践仍存在很大差异。此外，早期LC的最佳时机还很混乱，早期的定义从72小时到7天不等。有大量的病例对照研究调查了急性胆囊炎中LC的时机。本文的目的是汇总所有病例对照研究的结果，以调查结果，包括死亡率，并发症发生率，住院时间和开放手术的转化率。

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