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Appendix, Gallbladder and Surgical Emergencies ·

Laparoscopic Cholecystectomy Outperforms Open and Robotic Methods

Laparoscopic cholecystectomy reduces mortality and complications compared to open surgery, especially in low- and middle-income settings.

  • Laparoscopic surgery cut mortality risk by 84% (RR 0.16) and complications by 54% (RR 0.46) versus open cholecystectomy.
  • Length of hospital stay decreased by an average of 4.08 days with laparoscopic techniques.

Robotic surgery did not show significant advantages over laparoscopic methods.

  • The mortality benefit from laparoscopic surgery was more pronounced in lower-income countries.

Review by Delpino FM, Tustumi F (…) Wolosker N et 5 al. in Am J Surg

Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.

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