BACKGROUND: Since the first laparoscopic cholecystectomy was reported, the four-trocar laparoscope has become the golden standard procedure. Some surgeons, however, thought that the three-port technique may be safe, effective, and economic. Our meta-analysis compared the three-port technique to the four-port technique. METHODS: We searched the Cochrane Library, MEDLINE, EMBASE, and Chinese Biomedical Literature Database. Quality assessment and data extraction were done by two reviewers independently. The statistical analysis was performed by RevMan4.2.10 software. RESULTS: A total of five publications comprising 591 patients met the inclusion criteria. The result showed that three-port technique could not reduce the analgesia requirements: the sample mean difference (SMD) and 95% confidence interval (CI) were -0.28 (-0.66, 0.10). There were no significant differences between the two groups in terms of operating time [weighted mean difference (WMD) = 2.08, 95% CI (-3.63, 7.79)], success rate [odds ratio (OR) = 0.99,95% CI (0.31, 3.12)], or postoperative hospital stay [OR = -0.52,95% CI (-1.22, 0.17)]. CONCLUSIONS: The current evidence showed that the two groups had similar operating times, success rates, analgesia requirements, and postoperative hospital stays. The methodological qualities of studies are not high, so more high-quality studies are needed for further analysis.
BACKGROUND: Since the first laparoscopic cholecystectomy was reported, the four-trocar laparoscope has become the golden standard procedure. Some surgeons, however, thought that the three-port technique may be safe, effective, and economic. Our meta-analysis compared the three-port technique to the four-port technique. METHODS: We searched the Cochrane Library, MEDLINE, EMBASE, and Chinese Biomedical Literature Database. Quality assessment and data extraction were done by two reviewers independently. The statistical analysis was performed by RevMan4.2.10 software. RESULTS: A total of five publications comprising 591 patients met the inclusion criteria. The result showed that three-port technique could not reduce the analgesia requirements: the sample mean difference (SMD) and 95% confidence interval (CI) were -0.28 (-0.66, 0.10). There were no significant differences between the two groups in terms of operating time [weighted mean difference (WMD) = 2.08, 95% CI (-3.63, 7.79)], success rate [odds ratio (OR) = 0.99,95% CI (0.31, 3.12)], or postoperative hospital stay [OR = -0.52,95% CI (-1.22, 0.17)]. CONCLUSIONS: The current evidence showed that the two groups had similar operating times, success rates, analgesia requirements, and postoperative hospital stays. The methodological qualities of studies are not high, so more high-quality studies are needed for further analysis.
Authors: Yuri W Novitsky; Kent W Kercher; Donald R Czerniach; Gordie K Kaban; Samira Khera; Karen A Gallagher-Dorval; Mark P Callery; Demetrius E M Litwin; John J Kelly Journal: Arch Surg Date: 2005-12
Authors: Muhammad S Sajid; Nikhil Ladwa; Lorain Kalra; Kristian K Hutson; Krishna K Singh; Mazin Sayegh Journal: World J Surg Date: 2012-11 Impact factor: 3.352
Authors: A Ciftci; M B Yazicioglu; C Tiryaki; H T Turgut; O Subasi; M Ilgoz; O Civil; S Y Yildiz Journal: Ir J Med Sci Date: 2016-08-31 Impact factor: 1.568
Authors: Burhan Mayir; Ugur Dogan; Umit Koc; Arif Aslaner; Tuna Bılecık; Cemal Ozben Ensarı; Tugrul Cakir; Mehmet Tahir Oruc Journal: Int J Clin Exp Med Date: 2014-08-15