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2015 ; 5
(4
): 238-54
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Laparoscopic surgery: A qualified systematic review
#MMPMID26713285
Buia A
; Stockhausen F
; Hanisch E
World J Methodol
2015[Dec]; 5
(4
): 238-54
PMID26713285
show ga
AIM: To review current applications of the laparoscopic surgery while
highlighting the standard procedures across different fields. METHODS: A
comprehensive search was undertaken using the PubMed Advanced Search Builder. A
total of 321 articles were found in this search. The following criteria had to be
met for the publication to be selected: Review article, randomized controlled
trials, or meta-analyses discussing the subject of laparoscopic surgery. In
addition, publications were hand-searched in the Cochrane database and the
high-impact journals. A total of 82 of the findings were included according to
matching the inclusion criteria. Overall, 403 full-text articles were reviewed.
Of these, 218 were excluded due to not matching the inclusion criteria. RESULTS:
A total of 185 relevant articles were identified matching the search criteria for
an overview of the current literature on the laparoscopic surgery. Articles
covered the period from the first laparoscopic application through its tremendous
advancement over the last several years. Overall, the biggest advantage of the
procedure has been minimizing trauma to the abdominal wall compared with open
surgery. In the case of cholecystectomy, fundoplication, and adrenalectomy, the
procedure has become the gold standard without being proven as a superior
technique over the open surgery in randomized controlled trials. Faster recovery,
reduced hospital stay, and a quicker return to normal activities are the most
evident advantages of the laparoscopic surgery. Positive outcomes, efficiency, a
lower rate of wound infections, and reduction in the perioperative morbidity of
minimally invasive procedures have been shown in most indications. CONCLUSION:
Improvements in surgical training and developments in instruments, imaging, and
surgical techniques have greatly increased safety and feasibility of the
laparoscopic surgical procedures.
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