Minimally invasive versus open surgery for gallbladder cancer: A systematic review and meta-analysis.
Abhay K Kattepur, Mufaddal Kazi, Gurudutt P Varty et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the post-operative outcomes of minimally invasive surgery (MIS) versus open surgery for gallbladder cancer in 8,568 patients. The study found that MIS was associated with lower overall morbidity (OR 0.60) and mortality (OR 0.62), although it had a higher risk of R1 resection (OR 1.34).
Key findings
- MIS showed lower overall morbidity with an odds ratio of 0.60.
- Mortality rates were lower in the MIS group, with an odds ratio of 0.62.
- Patients undergoing MIS had a shorter hospital stay by an average of 3 days.
- R1 resection rates were higher in the MIS group, with an odds ratio of 1.34.
Why it matters
Understanding the comparative outcomes of MIS and open surgery for gallbladder cancer is crucial for surgical decision-making, particularly regarding post-operative morbidity and mortality, which can significantly impact patient recovery and overall care.
What to keep in mind
The certainty of evidence was very low to low across the included studies.