COMPARISON OF OPEN CHOLECYSTECTOMY AND LAPAROSCOPIC CHOLECYSTECTOMY IN THE TREATMENT OF ACUTE CHOLECYSTITIS: A SYSTEMATIC REVIEW
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Keywords
Open Cholecystectomy, Laparoscopic Cholecystectomy, Acute Cholecystitis
Abstract
Background: Acute cholecystitis is considered the most common complication of cholelithiasis. Annually, around 64,000 people require surgical intervention for this frequent surgical disease. The normal medical practice for individuals with acute cholecystitis is to do an early laparoscopic cholecystectomy (LC). The objective of this research is to present compelling data regarding the impact of laparoscopic cholecystectomy on reducing hospitalization duration, postoperative complications, morbidity, and mortality rate, as well as to assess its overall practicality. This objective was accomplished through carrying out a methodical examination of the existing evidence in the study undertaken in this particular area.
Objective: To compare the current evidences of open cholecystectomy Laparoscopic Cholecystectomy (LC) in the management of acute cholecystitis.
Methods: Systematic review was carried out in accordance with the PRISMA standards. Relevant searches were conducted using PubMed, EMBASE, and CINAHL. Eligible quasi-experimental & randomized controlled experiments were conducted utilizing various Mesh terms associated with laparoscopic cholecystectomy as well as open cholecystectomy interventions. Four main outcome parameters (hospital stay, post op complications, morbidity and mortality rate) were assess on short, medium, and long-term effect.
Result: The initial search yielded a total of 65 items. Following the screening process, a total of 10 publications were collected for the study. Multiple studies have consistently shown that laparoscopic cholecystectomy, when compared to open cholecystectomy, results in shorter hospital stays, reduced morbidity, and decreased postoperative problems. The outcome implies that. Laparoscopic cholecystectomy is a safe procedure for treating acute cholecystitis, with lower mortality rates, shorter hospital stays, and less postoperative problems compared to open cholecystectomy.
Conclusion: The evidence of moderate quality indicates that laparoscopic cholecystectomy provides a safe and effective alternative to open cholecystectomy for patients with acute cholecystitis. It has been shown to reduce hospital stay, morbidity, mortality, and post-operative problems.
References
2. Portincasa P, Moschetta A, Palasciano G. Cholesterol gallstone disease. Lancet (London, England). 2006;368(9531):230-9.
3. Chandra S, Friesen C, Attard TM. Trends in the epidemiology of pediatric acute and chronic cholecystitis-related admissions in the USA: a nationwide emergency department and inpatient sample study. Journal of Investigative Medicine. 2019;67(8):1155-9.
4. Indar AA, Beckingham IJ. Acute cholecystitis. BMJ (Clinical research ed). 2002;325(7365):639-43.
5. Wiesen SM, Unger SW, Barkin JS, Edelman DS, Scott JS, Unger HM. Laparoscopic cholecystectomy: the procedure of choice for acute cholecystitis. The American journal of gastroenterology. 1993;88(3):334-7.
6. Zacks SL, Sandler RS, Rutledge R, Brown RS, Jr. A population-based cohort study comparing laparoscopic cholecystectomy and open cholecystectomy. The American journal of gastroenterology. 2002;97(2):334-40.
7. Götzky K, Landwehr P, Jähne J. Epidemiology and clinical presentation of acute cholecystitis. Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen. 2013;84(3):179-84.
8. CHIRURGICA M. Epidemiology of Acute Cholecystitis and its treatment in Bergamo District-Northern Italy. Minerva Chir. 2015.
9. Kimura Y, Takada T, Kawarada Y, Nimura Y, Hirata K, Sekimoto M, et al. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. Journal of hepato-biliary-pancreatic surgery. 2007;14(1):15-26.
10. Fuks D, Mouly C, Robert B, Hajji H, Yzet T, Regimbeau JM. Acute cholecystitis: preoperative CT can help the surgeon consider conversion from laparoscopic to open cholecystectomy. Radiology. 2012;263(1):128-38.
11. Siddiqui T, MacDonald A, Chong PS, Jenkins JT. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a meta-analysis of randomized clinical trials. American journal of surgery. 2008;195(1):40-7.
12. Kolla SB, Aggarwal S, Kumar A, Kumar R, Chumber S, Parshad R, et al. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial. Surgical endoscopy. 2004;18(9):1323-7.
13. Teckchandani N, Garg PK, Hadke NS, Jain SK, Kant R, Mandal AK, et al. Predictive factors for successful early laparoscopic cholecystectomy in acute cholecystitis: a prospective study. International journal of surgery (London, England). 2010;8(8):623-7.
14. Wiseman JT, Sharuk MN, Singla A, Cahan M, Litwin DE, Tseng JF, et al. Surgical management of acute cholecystitis at a tertiary care center in the modern era. Archives of surgery (Chicago, Ill : 1960). 2010;145(5):439-44.
15. TEIXEIRA JA, RIBEIRO C, MOREIRA LM, de SOUSA F, PINHO A, GRAÇA L, et al. Colecistectomia por Laparoscopia e por Laparotomia na Colecistite Aguda: Análise Crítica de 520 Casos. Acta Med Port. 2014;27(6):685-91.
16. Johansson M, Thune A, Nelvin L, Stiernstam M, Westman B, Lundell L. Randomized clinical trial of open versus laparoscopic cholecystectomy in the treatment of acute cholecystitis. Journal of British Surgery. 2005;92(1):44-9.
17. Lee NW, Collins J, Britt R, Britt L. Evaluation of preoperative risk factors for converting laparoscopic to open cholecystectomy. The American Surgeon. 2012;78(8):831-3.
18. Islam M, Ali M, Azam SM, Islam M. Comparative Study between Laparoscopic and Open Cholecystectomy: Complications and Management. Medicine Today. 2021;33:19-21.
19. Rubert CP, Higa RA, Farias FVB. Comparison between open and laparoscopic elective cholecystectomy in elderly, in a teaching hospital. Revista do Colegio Brasileiro de Cirurgioes. 2016;43:02-5.
20. Glavić Ž, Begić L, Šimleša D, Rukavina A. Treatment of acute cholecystitis. Surgical endoscopy. 2001;15(4):398-401.
21. Catena F, Ansaloni L, Bianchi E, Di Saverio S, Coccolini F, Vallicelli C, et al. The ACTIVE (Acute Cholecystitis Trial Invasive Versus Endoscopic) study: multicenter randomized, double-blind, controlled trial of laparoscopic versus open surgery for acute cholecystitis. Hepatogastroenterology. 2013;60(127):1552-6.
22. Boo YJ, Kim WB, Kim J, Song TJ, Choi SY, Kim YC, et al. Systemic immune response after open versus laparoscopic cholecystectomy in acute cholecystitis: a prospective randomized study. Scandinavian Journal of Clinical and Laboratory Investigation. 2007;67(2):207-14.
23. Pessaux P, Regenet N, Tuech J-J, Rouge C, Bergamaschi R, Arnaud J-P. Laparoscopic versus open cholecystectomy: a prospective comparative study in the elderly with acute cholecystitis. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2001;11(4):252-5.
24. Karim T, Kadyal A. A comparative study of laparoscopic vs. open cholecystectomy in a suburban teaching hospital. J Gastrointest Dig Syst. 2015;5(6):1-5.
25. Macaskill P, Walter SD, Irwig L. A comparison of methods to detect publication bias in meta‐analysis. Statistics in medicine. 2001;20(4):641-54.
26. Lujan J, Parrilla P, Robles R, Marin P, Torralba J, Garcia-Ayllon J. Laparoscopic cholecystectomy vs open cholecystectomy in the treatment of acute cholecystitis: a prospective study. Archives of surgery. 1998;133(2):173-5.
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Muhammad Haider Ali
Resident Surgeon at Hayatabad Medical Complex, Peshawar, Pakistan
Mashhood Alam Khan
House officer at Hayatabad Medical Complex, Peshawar, Pakistan
Mashal Khan
Licensed Practitioner at United Kingdom
Hamza Khan Toru
Clinical Fellow, Orthopaedics, King’s Mill Hospital, Sutton in Ashfield. United Kingdom
Muhammad Waqas
Resident Surgeon at Hayatabad Medical Complex, Peshawar, Pakistan
Haseeb Ahmad
Resident Surgeon at Hayatabad Medical Complex, Peshawar, Pakistan
Aisha Farooq
Resident Doctor at Rehman Medical Institute, Peshawar, Pakistan