Transscrotal and transurethral cholecystectomy: a meta-analysis

• Published in: Ugeskrift for læger Vol. 177; no. 52; p. V67983
• Main Authors: Kokotovic, Dunja, Bennedsen, Astrid L B, Bodilsen, Tina Fransgård
• Format: Journal Article
• Language: Danish
• Published: Denmark 21.12.2015
• Subjects: Cholecystectomy - adverse effects; Cholecystectomy - methods; Humans; Male; Patient Satisfaction; Postoperative Complications
• ISSN: 1603-6824

Patients treated with transvaginal cholecystectomy have less post-operative pain and improved cosmesis compared to patients treated with conventional laparoscopic cholecystectomy. No systematic review or meta-analysis has been conducted focusing on similar beneficial surgeries for men. The aim of this meta-analysis was to compare transscrotal and transurethral cholecystectomy with conventional laparoscopic cholecystectomy. PubMed and Embase were systematically searched for observational and randomized controlled trials comparing transscrotal and transurethral cholecystectomy with conventional laparoscopic cholecystectomy. The primary outcome was post-operative complications. Cosmetic satisfaction and whether the patient would recommend the surgery to others were assessed as secondary outcome. No observational or randomized controlled trials comparing transscrotal and transurethral cholecystectomy with conventional laparoscopic cholecystectomy was found. Sufficient evidence to illustrate the advantages of transscrotal and transurethral cholecystectomy compared with conventional laparoscopic cholecystectomy cannot be provided currently. There is an urgent need for qualified data in this surgical field. Large randomized controlled trials assessing this topic would be appreciated. none. none.