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Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis.
MedLine Citation:
PMID:  24503370     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The feasibility and safety of low-pressure pneumoperitoneum in laparoscopic cholecystectomy remain unclear.
METHODS: A meta-analysis of randomized controlled trials comparing low-pressure with standard-pressure pneumoperitoneum was performed.
RESULTS: A total of 1,263 patients were included. Low-pressure pneumoperitoneum was associated with significantly decreased postoperative pain. The requirement for increased pressure was significantly greater in the low-pressure group (risk ratio = 6.16; P < .001). Operative time was similar, with only a slight statistical significance (weighted mean difference = 2.07; P < .001). Length of hospital stay was shorter in the low-pressure group (weighted mean difference = -.27; P = .01). No significant differences were found in surgical complications or conversion to open surgery.
CONCLUSIONS: Low-pressure pneumoperitoneum is feasible and safe and results in reduced postoperative pain and near-equal operative time compared with standard-pressure pneumoperitoneum. More studies are required to investigate the potential benefits of the reduced length of hospital stay.
Authors:
Jie Hua; Jian Gong; Le Yao; Bo Zhou; Zhenshun Song
Publication Detail:
Type:  REVIEW     Date:  2014-1-16
Journal Detail:
Title:  American journal of surgery     Volume:  -     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-2-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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