10.6084/m9.figshare.4299842.v1
Wu K.-L.
Wu
K.-L.
Lee K.-C.
Lee
K.-C.
Liu C.-C.
Liu
C.-C.
Chen H.-H.
Chen
H.-H.
Lu C.-C.
Lu
C.-C.
Supplementary Material for: Laparoscopic versus Open Surgery for Diverticulitis: A Systematic Review and Meta-Analysis
Karger Publishers
2016
Colectomy
Diverticulitis
aparoscopy ยท
Meta-analysis
2016-12-09 12:42:42
Dataset
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Laparoscopic_versus_Open_Surgery_for_Diverticulitis_A_Systematic_Review_and_Meta-Analysis/4299842
<p><b><i>Background/Aims:</i></b> The study aimed to perform a meta-analysis comparing laparoscopic and open surgery for diverticulitis. <b><i>Methods:</i></b>
Studies comparing the outcomes of laparoscopic surgery versus open
surgery for diverticulitis that reported quantitative data were
included. Outcome measures were mortality and morbidity rates and length
of hospital stay. <b><i>Results:</i></b> Four randomized controlled
trials - 3 prospective and 21 retrospective - were included in the
analysis. The total numbers of patients ranged from 5 to 14,562 in the
laparoscopic groups and from 4 to 110,172 in the open surgery groups,
and the mean patient age ranged from 38.9 to 78 years. Overall analysis
revealed that laparoscopic surgery was associated with lower mortality
(pooled OR 0.40, 95% CI 0.25-0.63, p < 0.001) and a lower overall
morbidity rate (pooled OR 0.65, 95% CI 0.51-0.82, p < 0.001) than
open surgery. Laparoscopic surgery was associated with a higher
anastomotic bleeding rate, but lower rates of ileus, anastomotic
leakage, small bowel obstruction, wound infection, fascial dehiscence
and intra-abdominal abscesses. Length of hospital stay was less with
laparoscopic surgery. <b><i>Conclusions:</i></b> The current
meta-analysis supports the use of laparoscopy for the treatment of
diverticulitis. The results, however, should be interpreted with
caution.</p>