Meta-analysis of the clinical application on gasless laparoscopic cholecystectomy in China.
OBJECTIVE
We aim to perform systematic reviews of the clinical effects of the abdominal wall suspension technique in laparoscopic cholecystectomy in China.


METHODS
We retrieved databases of literature on randomized controlled trials involving abdominal wall suspension laparoscopic cholecystectomy. Then, we conducted screenings, extracted data, and performed quality assessment and meta-analysis.


RESULTS
We analyzed 611 patients. Our analysis showed that the abdominal wall suspension group compared to the traditional group had reduced length of hospital stay (SMD = -0.91, 95% CI = -1.76~-0.06, P = 0.04), had shortened postoperative first exhaust time (SMD = -0.65, 95% CI = -1.11~-0.20, P = 0.005), and had diminished incidence of postoperative complications (P < 0.001), which decreased the cost of hospitalization.


CONCLUSIONS
Application of abdominal wall suspension endoscopic technique can significantly speed up the rehabilitation of laparoscopic cholecystectomy patients; therefore, it is worthy of further research and clinical application.
Department of General Surgery, Qilu Hospital of Shandong University Jinan, China ; Department of General Surgery, Shenzhen Longhua New District Central Hospital Shenzhen, China.
Qian
Q
Liu
Department of General Surgery, Qilu Hospital of Shandong University Jinan, China.
Guangyong
G
Zhang
Department of General Surgery, Shenzhen Longhua New District Hospital Shenzhen, China.
Yong
Y
Zhong
School of Medicine, Southern Medical University China.
Chongyang
C
Duan
Department of General Surgery, Qilu Hospital of Shandong University Jinan, China.
Sanyuan
S
Hu
Laparoscopic cholecystectomy; abdominal wall suspension; meta-analysis; randomized controlled trials