手助腹腔镜手术与开腹手术在需要全结肠切除术患者中的应用:一项 Meta 分析

IF 0.4 4区 医学 Q4 SURGERY
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引用次数: 0

摘要

摘要 本研究旨在评估手辅助腹腔镜结肠切除术(HALC)和开腹结肠切除术在治疗需要切除全结肠或结直肠的患者时的术中和术后效果。我们在 PubMed 和 Cochrane 图书馆进行了无限制的系统性文献检索。提取了估计失血量、手术时间、住院时间和手术后并发症(包括回肠淤血、伤口感染和渗漏)。共纳入了六项研究,报告了 271 名接受 HALC 或开腹手术的恢复性直肠结肠切除术(RPC)或全腹结肠切除术(TAC)患者。HALC 组和开放手术组在估计失血量(平均差 (MD) = 93.44,95%CI [51.33, 135.54],P < 0.0001)、手术时间(MD = - 41.17,95%CI [- 54.41, - 27.94],P < 0.00001)和住院时间(MD = 1.56,95%CI [0.24, 2.88],P = 0.02)方面存在明显差异。在术后并发症方面,两组的回肠梗阻(OR 1.27,95% CI [0.55,2.95],P = 0.57)和伤口感染(OR 1.21,95% CI [0.53,2.79],P = 0.66)发生率相似。在接受 RPC 和 TAC 的患者中,HALC 比开放手术更有效、更安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hand-Assisted Laparoscopic Surgery Versus Open Surgery in Patients Needed Total Colectomy: A Meta-analysis

Abstract

This study is to evaluate intraoperative and postoperative outcomes of hand-assisted laparoscopic colectomy (HALC) and open colectomy in the management of patients needed to removal total colon or colorectum. A systematic literature search with no limits was performed in PubMed and the Cochrane Library. Estimated blood loss, operative time, length of hospital stay, and post-operation complications including ileus, wound infection and leak were extracted. Six researches reporting a total number of 271 patients who underwent HALC or open surgery within restorative proctocolectomy (RPC) or total abdominal colectomy (TAC) were included. There was a significant difference between HALC and open surgery groups in the estimated blood loss (mean difference (MD) = 93.44, 95%CI [51.33, 135.54], p < 0.0001), operative time (MD = − 41.17, 95%CI [− 54.41, − 27.94], p < 0.00001) and length of hospital stay (MD = 1.56, 95%CI [0.24, 2.88], P = 0.02). In the terms of post-operation complications, the incidence of ileus (OR 1.27, 95% CI [0.55, 2.95], P = 0.57) and wound infection (OR 1.21, 95% CI [0.53, 2.79], P = 0.66) were similar between the two groups. HALC could have more effect and safety over open surgery in patients underwent RPC and TAC.

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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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