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. 2015 Dec 26;5(4):238-54.
doi: 10.5662/wjm.v5.i4.238.

Laparoscopic surgery: A qualified systematic review

Alexander Buia  1 , Florian Stockhausen  1 , Ernst Hanisch  1
Affiliations

Laparoscopic surgery: A qualified systematic review

Alexander Buia et al. World J Methodol. .

Abstract

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.

Keywords: Appendectomy; Cholecystectomy; Colon resection; Endoscopic surgery; Esophagectomy; Gastrectomy; Gastric cancer; Laparoscopic surgery; Pancreatic surgery; Rectal resection.

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Figures

Figure 1
Figure 1
Selection of articles for the review.
See this image and copyright information in PMC

References

    1. Reynolds W. The first laparoscopic cholecystectomy. JSLS. 2001;5:89–94. - PMC - PubMed
    1. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700. - PMC - PubMed
    1. Ohtani H, Tamamori Y, Arimoto Y, Nishiguchi Y, Maeda K, Hirakawa K. Meta-analysis of the results of randomized controlled trials that compared laparoscopic and open surgery for acute appendicitis. J Gastrointest Surg. 2012;16:1929–1939. - PubMed
    1. Thomson JE, Kruger D, Jann-Kruger C, Kiss A, Omoshoro-Jones JA, Luvhengo T, Brand M. Laparoscopic versus open surgery for complicated appendicitis: a randomized controlled trial to prove safety. Surg Endosc. 2015;29:2027–2032. - PubMed
    1. Markides G, Subar D, Riyad K. Laparoscopic versus open appendectomy in adults with complicated appendicitis: systematic review and meta-analysis. World J Surg. 2010;34:2026–2040. - PubMed