无阀充气和传统充气对机器人肾部分切除术中腹腔积气相关并发症的影响：前瞻性研究的系统回顾和荟萃分析。

IF 1.7 3区医学 Q3 UROLOGY & NEPHROLOGY

BMC Urology Pub Date : 2024-11-01 DOI:10.1186/s12894-024-01632-3

Lucas Schenk de Almeida, Richard Dobrucki de Lima, Breno Cordeiro Porto, Carlo Camargo Passerotti, Rodrigo Afonso da Silva Sardenberg, José Pinhata Otoch, José Arnaldo Shiomi da Cruz

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引用次数: 0

摘要

简介使用腹腔积气是进行腹腔镜手术和机器人手术的必要步骤。腹腔积气可导致气胸、皮下气肿和气腹等并发症。本荟萃分析旨在比较在机器人辅助肾切除术中使用传统充气系统和无阀充气系统作为制造腹腔积气设备的安全性：方法：在 PUBMED、EMBASE、SCOPUS 和 Cochrane 上进行了全面的文献检索，检索时间从开始到 2024 年 1 月。荟萃分析纳入了随机和非随机前瞻性研究，由 R+ Rstudio 进行：结果：共纳入三篇文献，涵盖 478 名患者。当比较传统充气系统（CIS）组和腹腔积气压力为 15 mmHg 或 12 mmHg 的 AirSealTM 充气系统（AIS）组时，我们观察到 SCE（OR 0.60，CI 95% 0.27;1.34，p = 0.134，I2 = 0）和 PNM（OR 0.82，CI 95% 0.24;2.78，p = 0.558，I2 = 0）没有差异：结论：所提供的数据显示，在腹腔充气相关并发症方面，AIS 与 CIS 没有差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Valveless and conventional insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a systematic review and meta-analysis of prospective studies.

Introduction: The use of pneumoperitoneum is an essential step for performing laparoscopic and robotic surgery. Pneumoperitoneum insufflation can cause complications such as pneumothorax, subcutaneous emphysema, and pneumomediastinum. The purpose of this meta-analysis is to compare the safety of using the conventional insufflation system versus a Valveless insufflation system as devices for manufacturing pneumoperitoneum in robotic-assisted nephrectomy.

Methods: A comprehensive literature search was conducted on PUBMED, EMBASE, SCOPUS, and Cochrane, from inception until January 2024. Randomized and nonrandomized prospective studies were included in the meta-analysis, performed by the R+ Rstudio.

Results: Three publications encompassing 478 patients were included. We observed no difference in SCE (OR 0.60, CI 95% 0.27;1.34, p = 0.134, I² = 0), PNM (OR 0.82, CI 95% 0.24;2.78, p = 0.558, I² = 0), When comparing groups conventional insufflation system (CIS) versus AirSealTM insufflation system (AIS) with pneumoperitoneum pressure of 15 mmHg or 12 mmHg.

Conclusion: The presented data showed no difference between the AIS when compared with CIS in Pneumoperitoneum insufflation-related complications.

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来源期刊

BMC Urology UROLOGY & NEPHROLOGY-

CiteScore

3.20

自引率

0.00%

发文量

177

审稿时长

>12 weeks

期刊介绍： BMC Urology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of urological disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal considers manuscripts in the following broad subject-specific sections of urology: Endourology and technology Epidemiology and health outcomes Pediatric urology Pre-clinical and basic research Reconstructive urology Sexual function and fertility Urological imaging Urological oncology Voiding dysfunction Case reports.