Does previous gastrectomy history affect the surgical outcomes of laparoscopic cholecystectomy?

作者全名："Shu, Xin-Peng; Wen, Ze-Lin; Li, Qing-Shu"

作者地址："[Shu, Xin-Peng] Chongqing Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, Chongqing 400016, Peoples R China; [Wen, Ze-Lin] Chongqing Med Univ, Yongchuan Hosp, Dept Gastrointestinal Surg, Chongqing 402160, Peoples R China; [Li, Qing-Shu] Chongqing Med Univ, Coll Basic Med, Dept Pathol, Chongqing, Peoples R China; [Li, Qing-Shu] Chongqing Med Univ, Mol Med Diagnost & Testing Ctr, Chongqing, Peoples R China; [Li, Qing-Shu] Chongqing Med Univ, Affiliated Hosp 1, Dept Pathol, Chongqing, Peoples R China"

通信作者："Li, QS (通讯作者)，Chongqing Med Univ, Coll Basic Med, Dept Pathol, Chongqing, Peoples R China.; Li, QS (通讯作者)，Chongqing Med Univ, Mol Med Diagnost & Testing Ctr, Chongqing, Peoples R China.; Li, QS (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Pathol, Chongqing, Peoples R China."

来源：BMC SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001099672700002

JCR分区：Q2

影响因子：1.9

年份：2023

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Laparoscopic cholecystectomy; Gastrectomy; Outcomes

摘要："Purpose This current study aimed to explore whether gastrectomy history influenced surgical outcomes while undergoing laparoscopic cholecystectomy (LC).Methods The PubMed, Embase, and Cochrane Library databases were searched for eligible studies from inception to April 29, 2023. The Newcastle-Ottawa Scale (NOS) was adopted to assess the quality of included studies. The mean differences (MDs) and 95% confidence intervals (CIs) were calculated for continuous variables, and the odds ratios (ORs) and 95% CIs were calculated for dichotomous variables. RevMan 5.4 was used for data analysis.Results Seven studies enrolling 8193 patients were eligible for the final pooling up analysis (380 patients in the previous gastrectomy group and 7813 patients in the non-gastrectomy group). The patients in the gastrectomy group were older (MD = 11.11, 95%CI = 7.80-14.41, P < 0.01) and had a higher portion of males (OR = 3.74, 95%CI = 2.92-4.79, P < 0.01) than patients in the non-gastrectomy group patients. Moreover, the gastrectomy group had longer LC operation time (MD = 34.17, 95%CI = 25.20-43.14, P < 0.01), a higher conversion rate (OR = 6.74, 95%CI = 2.17-20.26, P = 0.01), more intraoperative blood loss (OR = 1.96, 95%CI = 0.59-3.32, P < 0.01) and longer postoperative hospital stays (MD = 1.07, 95%CI = 0.38-1.76, P < 0.01) than the non-gastrectomy group.Conclusion Patients with a previous gastrectomy history had longer operation time, a higher conversion rate, more intraoperative blood loss, and longer postoperative hospital stays than patients without while undergoing LC. Surgeons should pay more attention to these patients and make prudent decisions to avoid worse surgical outcomes as much as possible."

基金机构：We acknowledge all the authors whose publications are referred in our article.

基金资助正文：We acknowledge all the authors whose publications are referred in our article.