| Title |
Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy: a systematic review and pooled data analysis
|
|---|---|
| Published in |
Surgical Endoscopy, March 2018
|
| DOI | 10.1007/s00464-017-5974-2 |
| Pubmed ID | |
| Authors |
Philip H. Pucher, L. Michael Brunt, Neil Davies, Ali Linsk, Amani Munshi, H. Alejandro Rodriguez, Abe Fingerhut, Robert D. Fanelli, Horacio Asbun, Rajesh Aggarwal, on behalf of the SAGES Safe Cholecystectomy Task Force |
| Abstract |
Laparoscopic cholecystectomy (LC), one of the most commonly performed surgical procedures, remains associated with significant major morbidity including bile leak and bile duct injury (BDI). The effect of changes in practice over time, and of interventions to improve patient safety, on morbidity rates is not well understood. The aim of this review was to describe current incidence rates and trends for BDI and other complications during and after LC, and to identify risk factors and preventative measures associated with morbidity and BDI. PubMed, MEDLINE, and Web of Science database searches and data extraction were conducted for studies which reported individual complications and complication rates following laparoscopic cholecystectomy in a representative population. Outcomes data were pooled. Meta-regression analysis was performed to assess factors associated with conversion, morbidity, and BDI rates. One hundred and fifty-one studies reporting outcomes for 505,292 patients were included in the final quantitative synthesis. Overall morbidity, BDI, and mortality rates were 1.6-5.3%, 0.32-0.52%, and 0.08-0.14%, respectively. Reported BDI rates reduced over time (1994-1999: 0.69(0.52-0.84)% versus 2010-2015 0.22(0.02-0.40)%, p = 0.011). Meta-regression analysis suggested higher conversion rates in developed versus developing countries (4.7 vs. 3.4%), though a greater degree of reporting bias was present in these studies, with no other significant associations identified. Overall, trends suggest a reduction in BDI over time with unchanged morbidity and mortality rates. However, data and reporting are heterogenous. Establishment of international outcomes registries should be considered. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 165 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 19 | 12% |
| Researcher | 17 | 10% |
| Student > Bachelor | 17 | 10% |
| Student > Postgraduate | 12 | 7% |
| Other | 12 | 7% |
| Other | 25 | 15% |
| Unknown | 63 | 38% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 77 | 47% |
| Nursing and Health Professions | 5 | 3% |
| Biochemistry, Genetics and Molecular Biology | 3 | 2% |
| Engineering | 3 | 2% |
| Sports and Recreations | 2 | 1% |
| Other | 9 | 5% |
| Unknown | 66 | 40% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 October 2022.
All research outputs
#8,262,193
of 26,017,215 outputs
Outputs from Surgical Endoscopy
#1,711
of 7,048 outputs
Outputs of similar age
#133,697
of 351,855 outputs
Outputs of similar age from Surgical Endoscopy
#43
of 102 outputs
Altmetric has tracked 26,017,215 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 7,048 research outputs from this source. They receive a mean Attention Score of 4.1. This one has gotten more attention than average, scoring higher than 74% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 351,855 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 60% of its contemporaries.
We're also able to compare this research output to 102 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.