评估直肠癌腹腔镜手术与开腹手术后肠梗阻的风险:系统回顾

IF 0.2 Q4 SURGERY
Rajarshi Mitra
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引用次数: 0

摘要

本系统性综述旨在评估接受腹腔镜或开腹直肠癌手术的患者中与粘连相关的再住院和粘连性肠梗阻(BO)手术的发生率。一般认为,与开腹手术相比,腹腔镜手术的术后粘连形成率较低。 我们在多个综合数据库中进行了全面系统的搜索,以确定纳入本系统综述的相关研究。搜索的目的是确保选择的研究全面且无偏见,为后续分析奠定坚实的基础。 在本综述中,共有 10 项研究涉及直肠癌腹腔镜手术和开腹手术的肠梗阻风险。研究一致表明,腹腔镜手术与开腹手术相比,术后肠梗阻的风险较低。综述中有六项研究支持这一结论。 与开腹手术相比,腹腔镜手术可显著减少粘连性肠梗阻,这一点已在本系统综述中得到证实。然而,要证实这些益处,还需要更多设计良好、涉及不同患者的随机试验。要更清楚地了解腹腔镜手术在降低肠梗阻风险方面的优势,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of the risk of bowel obstruction after laparoscopic vs. open surgery for rectal cancer: A systematic review
This systematic review aimed to evaluate the incidence of adhesion-related readmissions and surgery for adhesive bowel obstruction (BO) in patients who underwent laparoscopic or open surgery for rectal cancer. Laparoscopic surgery is generally believed to be associated with a lower rate of postoperative adhesion formation compared to open surgery. A thorough and systematic search was conducted across multiple comprehensive databases to identify relevant studies for inclusion in this systematic review. The purpose of this search was to ensure a comprehensive and unbiased selection of studies to provide a robust foundation for the subsequent analysis. In this review, a total of 10 studies were involved on bowel obstruction risk in laparoscopic and open surgery for rectal cancer. This study consistently showed that laparoscopic surgery carried a lower risk of postoperative bowel obstruction compared to open surgery. Six studies in the review supported this finding. Laparoscopic surgery shows a significant reduction in adhesive bowel obstruction compared to open surgery, as indicated by this systematic review. However, more well-designed randomized trials involving diverse patients are needed to confirm these benefits. Further research is necessary to gain a clearer understanding of the advantages of laparoscopic surgery in reducing the risk of bowel obstruction.
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
11 weeks
期刊介绍: Formosan Journal of Surgery, a publication of Taiwan Surgical Association, is a peer-reviewed online journal with Bimonthly print on demand compilation of issues published. The journal’s full text is available online at http://www.e-fjs.org. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.
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