Postoperative pulmonary function in open versus laparoscopic cholecystectomy: a meta-analysis of the Tiffenau index
| Autor: | Marsilio Francucci, Gianfranco Damiani, Luigi Pinnarelli, Lorenzo Sommella, Walter Ricciardi, Annalisa Sammarco |
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| Rok vydání: | 2008 |
| Předmět: |
Vital capacity
medicine.medical_specialty medicine.medical_treatment Cochrane Library Models Biological Pulmonary function testing Statistical significance medicine Humans Cholecystectomy Postoperative Period Settore MED/42 - IGIENE GENERALE E APPLICATA business.industry Gastroenterology Random effects model Surgery Respiratory Function Tests Tiffenau Index Cholecystectomy Laparoscopic Strictly standardized mean difference Research Design Meta-analysis Anesthesia business |
| Zdroj: | Digestive surgery. 25(1) |
| ISSN: | 1421-9883 |
| Popis: | Background: Available scientific literature about open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) does not show univocal results in terms of postoperative pulmonary function. A meta-analysis was carried out to evaluate the postoperative pulmonary function after OC and LC focusing on the Tiffenau index. Methods: Electronic databases were consulted (Cochrane Library, Embase and Pubmed). Standardized mean difference (SMD) with 95% CI was calculated for the Tiffenau Index. The kappa test was performed to evaluate agreement between the reviewers regarding the quality of the selected studies. A sensitivity analysis was carried out to assess the robustness of our study. Heterogeneity among studies was tested by using a χ2 test at 0.05 significance level. A random effects model meta-analysis was performed. Results: Meta-analysis of the 13 articles included, resulted in a SMD of 53% (95% CI 0.04, 1.02) for the Tiffenau Index in favor of laparoscopic cholecystectomy. The χ2 test analysis showed the presence of heterogeneity among studies (Tiffenau index χ2 = 99.97, p = 0.03). The sensitivity analysis confirms the validity of our results. Conclusions: Postoperative pulmonary function is better preserved after laparoscopic cholecystectomy than open cholecystectomy. |
| Databáze: | OpenAIRE |
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