Colecistectomia laparoscópica versus aberta no tratamento da colecistite aguda: uma revisão sistemática
Year: 2025
Type: article
Study design: Systematic Review
Abstract: To evaluate, through systematic review, the available evidence comparing laparoscopic and open cholecystectomy in the management of acute cholecystitis, focusing on complications, hospital stay, conversion rate, and mortality. Following PRISMA guidelines, studies from 2018 to 2024 were selected in PubMed, Randomized clinical trials, systematic reviews, comparative observational studies, and meta-analyses were included. Key outcomes were operative time, complications, hospital stay, conversion rate, and mortality. Seventeen studies were included. Laparoscopic cholecystectomy was associated with shorter hospital stays, faster recovery, and lower surgical site infection rates. Open cholecystectomy, on the other hand, was favored in severe inflammation, distorted anatomy, or intraoperative complications. Laparoscopic surgery is the preferred approach in most cases of acute cholecystitis due to lower morbidity and faster recovery. The open approach remains relevant in high-risk orcomplex situations.
Authors: Letícia Meneses Teixeira, Matheus Andrade Gonçalves, Enzo Galinari Magalhães de Moura Faria, Vinícius Alves Barbosa
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409266118