The effectiveness of perioperative antibiotics to reduce surgical site infections following cholecystectomy: A systematic review and meta-analysis

converted to open surgery in 2 patients. In 2 patients additional laparoscopic trocar was inserted, including one case of T-tube choledocholithotomy. Mean operation time was 183.1 min and estimated blood loss was 316.8 mL. There were 2 patients with complications greater than Clavien-Dindo Classification III. (CBD injury, pleural effusion). Conclusions: Traditionally, open cholecystectomy was the preferred surgical technique in most patients due to dense fibrosis, extensive local inflammation, and concerns of possible coexistent malignancy. However in our result, laparoscopic cholecystectomy was feasible for XGC; though it is difficult and time consuming, conversion and complication rates are acceptable.