Application of Enhanced Recovery After Surgery Pathways in Patients Undergoing Laparoscopic Cholecystectomy With and Without Common Bile Duct Exploration: A systematic review and meta-analysis.
Cholecystectomy
Enhanced Recovery After Surgery
Laparoscopy
Meta-Analysis
Perioperative Care
Systematic Review
Journal
Sultan Qaboos University medical journal
ISSN: 2075-0528
Titre abrégé: Sultan Qaboos Univ Med J
Pays: Oman
ID NLM: 101519915
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
received:
20
09
2022
revised:
21
11
2022
accepted:
21
12
2022
medline:
30
6
2023
pubmed:
28
6
2023
entrez:
28
6
2023
Statut:
ppublish
Résumé
Many researchers have implemented enhanced recovery after surgery (ERAS) pathways for laparoscopic cholecystectomy (LC) and found it effective over conventional care. This review investigates the efficacy and safety of such pathways compared to conventional practices. PubMed Central/Medline, Scopus, Ovid and clinicaltrials. gov were searched using relevant keywords to identify studies in which ERAS pathways for LC were compared to conventional pathways. The primary outcome was length of stay (LOS) from the day of surgery and the secondary outcomes were pain scores, postoperative nausea/vomiting (PONV), readmissions (within 30 days after surgery), complications (medical and surgical), time to first flatus and cost. Out of 590 articles identified, six studies (n = 1,489 patients) fulfilled the inclusion criteria and were used for qualitative and quantitative analysis. On pooled analysis, LOS, time to first flatus, PONV and pain scores were significantly less in the ERAS group than in the conventional one, while readmission and complications were comparable in both groups.
Identifiants
pubmed: 37377820
doi: 10.18295/squmj.1.2023.005
pii: squmj2305-148-157
pmc: PMC10292587
doi:
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
148-157Informations de copyright
© Copyright 2023, Sultan Qaboos University Medical Journal, All Rights Reserved.
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