中国无气腹腹腔镜胆囊切除术临床应用的Meta分析
Meta-analysis of the clinical application on gasless laparoscopic cholecystectomy in China.
作者信息
Liu Qian, Zhang Guangyong, Zhong Yong, Duan Chongyang, Hu Sanyuan
机构信息
Department of General Surgery, Qilu Hospital of Shandong University Jinan, China ; Department of General Surgery, Shenzhen Longhua New District Central Hospital Shenzhen, China.
Department of General Surgery, Qilu Hospital of Shandong University Jinan, China.
出版信息
Int J Clin Exp Med. 2015 Feb 15;8(2):1684-90. eCollection 2015.
OBJECTIVE
We aim to perform systematic reviews of the clinical effects of the abdominal wall suspension technique in laparoscopic cholecystectomy in China.
METHODS
We retrieved databases of literature on randomized controlled trials involving abdominal wall suspension laparoscopic cholecystectomy. Then, we conducted screenings, extracted data, and performed quality assessment and meta-analysis.
RESULTS
We analyzed 611 patients. Our analysis showed that the abdominal wall suspension group compared to the traditional group had reduced length of hospital stay (SMD = -0.91, 95% CI = -1.76-0.06, P = 0.04), had shortened postoperative first exhaust time (SMD = -0.65, 95% CI = -1.11-0.20, P = 0.005), and had diminished incidence of postoperative complications (P < 0.001), which decreased the cost of hospitalization.
CONCLUSIONS
Application of abdominal wall suspension endoscopic technique can significantly speed up the rehabilitation of laparoscopic cholecystectomy patients; therefore, it is worthy of further research and clinical application.
目的
我们旨在对腹壁悬吊技术在中国腹腔镜胆囊切除术中的临床效果进行系统评价。
方法
我们检索了涉及腹壁悬吊腹腔镜胆囊切除术的随机对照试验的文献数据库。然后，我们进行筛选、提取数据，并进行质量评估和荟萃分析。
结果
我们分析了611例患者。我们的分析表明，与传统组相比，腹壁悬吊组的住院时间缩短（标准化均数差=-0.91，95%可信区间=-1.76-0.06，P=0.04），术后首次排气时间缩短（标准化均数差=-0.65，95%可信区间=-1.11-0.20，P=0.005），术后并发症发生率降低（P<0.001），这降低了住院费用。
结论
腹壁悬吊内镜技术的应用可显著加速腹腔镜胆囊切除术患者的康复；因此，值得进一步研究和临床应用。
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