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[Transscrotal and transurethral cholecystectomy: a meta-analysis]
Dunja Kokotovic1, Astrid L B Bennedsen, Tina Fransgård Bodilsen
1duko@regionsjaelland.dk.
Ugeskrift for Laeger
|December 23, 2015
Summary
This meta-analysis found no studies comparing transscrotal and transurethral cholecystectomy with laparoscopic cholecystectomy. More research is needed to evaluate these minimally invasive surgical techniques.
Area of Science:
- Minimally Invasive Surgery
- Surgical Outcomes
- Comparative Effectiveness
Background:
- Transvaginal cholecystectomy offers benefits over conventional laparoscopic cholecystectomy.
- Limited research exists on similar minimally invasive approaches for men.
- Transscrotal and transurethral cholecystectomy are potential alternatives.
Purpose of the Study:
- To compare transscrotal and transurethral cholecystectomy with conventional laparoscopic cholecystectomy.
- To evaluate post-operative complications, cosmetic satisfaction, and patient recommendations.
Main Methods:
- Systematic search of PubMed and Embase databases.
- Inclusion of observational and randomized controlled trials.
- Primary outcome: post-operative complications; Secondary outcomes: cosmetic satisfaction and patient recommendation.
Main Results:
- No studies were found comparing transscrotal/transurethral cholecystectomy with laparoscopic cholecystectomy.
- Insufficient data to assess the advantages of these novel surgical approaches.
Conclusions:
- Current evidence is insufficient to support transscrotal and transurethral cholecystectomy over conventional laparoscopic cholecystectomy.
- There is a critical need for high-quality data and large randomized controlled trials in this surgical area.
