Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and meta-analysis

Plasencia G.; Alvarado J.C.; Corvera C.Z.; Angulo W.P. · Pirogov Russian Journal of Surgery (2024) · DOI: 10.17116/hirurgia202403154

Resumen

Objective. To determine if laparoscopic excision is more effective than open excision in the treatment of choledochal cysts. Material and methods. A systematic review of randomized clinical trials in 3 databases measuring the efficacy of laparoscopic and open excision of choledochal cysts was performed. The authors considered international and national reports, whose results were analyzed in detail. Results. Mean duration of laparoscopic excision was 51 min, open excision — 35.4 min. Length of hospital-stay after laparoscopic excision ranged between 5 and 74 days, after open excision — between 7 and 146 days. Bile leakage rate was 1-2% and 4%, respectively. Laparoscopic excision was followed by lower complication rate. Morbidity and mortality in laparoscopic excision was 20% and 0%, in open excision — 60% and 3.3%, respectively. Conclusion. Laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.

Instituciones: Universidad Científica del Sur; Universidad Privada Antenor Orrego