Citgez Bulent, Battal Muharrem, Cipe Gokhan, Karatepe Oguzhan, Muslumanoglu Mahmut
Department of Surgery, Sisli Etfal Trammg and Research Hospital, Sisli, Istanbul, Turkey.
Hepatogastroenterology. 2013 Jun;60(124):784-8. doi: 10.5754/hge12527.
BACKGROUND/AIMS: Eccinococal disease is an important problem in regions such as Turkey, where tapeworms are endemic. Surgery is the main key to successful treatment. Among the various techniques, laparoscopy has recently come to be preferred over the commonly used open technique. The aim of this review was to evaluate the feasibility, safety and potential benefits of laparoscopic hydatid surgery.
Three independent investigators conducted comprehensive research using PubMed, MEDLINE, Embase and the Cochrane library. Language was restricted to English; reference lists were searched manually.
Tweny-two retrospective studies were selected for review, none of which were randomized controlled trials. It was found that the laparocopic approach was attempted in 666 patients. The overall conversion rate to laparotomy was 4% (27/666) with a recurrence rate of hydatid disease of 1.6% (11/666). Average length of hospital stay was 4.7 (1-30) days.
Based on this meta-analsysis, evidence confirms that the laparoscopic surgical technique is feasable and safe. Good randomized controlled trials are lacking.
背景/目的：包虫病在绦虫为地方病的地区（如土耳其）是一个重要问题。手术是成功治疗的关键。在各种技术中，腹腔镜手术最近已比常用的开放手术更受青睐。本综述的目的是评估腹腔镜包虫手术的可行性、安全性和潜在益处。
三位独立研究者使用PubMed、MEDLINE、Embase和Cochrane图书馆进行了全面研究。语言限于英语；参考文献列表进行了手动检索。
选择了22项回顾性研究进行综述，均非随机对照试验。发现666例患者尝试了腹腔镜手术方法。开腹手术的总体转换率为4%（27/666），包虫病复发率为1.6%（11/666）。平均住院时间为4.7（1 - 30）天。
基于这项荟萃分析，证据证实腹腔镜手术技术是可行且安全的。缺乏良好的随机对照试验。
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