This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Percutaneous transhepatic gallbladder drainage combined with laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials. J Lap Endosc Adv Surg Tech A 2018; 28: 248-255.

Published: 17th September 2018

Authors: Tan H-Y, Jiang D-D, Li J, He K, Yang K

Conclusion

There were nine RCTS that included 1000 patients. After prior drainage, laparoscopic cholecystectomy was a mean of 1.4 min quicker (P=0.02), had a lower conversion rate (odds ratio 0.16, 95 per cent confidence interval 0.08 to 0.31, P<0.00001) and fewer complications 0.29, 0.17 to 0.51, P<0.0001), and a shorter hospital stay (1.26 days fewer).

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