腹腔镜与经验丰富的机器人胃癌切除术短期疗效比较：一项荟萃分析与系统评价
Comparison of short outcomes between laparoscopic and experienced robotic gastrectomy: A meta-analysis and systematic review.
作者信息
Wang Zhanyu, Wang Yinghua, Liu Yan
机构信息
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Department of Endocrine, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
出版信息
J Minim Access Surg. 2017 Jan-Mar;13(1):1-6. doi: 10.4103/0972-9941.182653.
OBJECTIVE
The purpose of this meta-analysis is to compare the short-term outcomes between experienced robotic gastrectomy (RG) and laparoscopic gastrectomy (LG).
MATERIALS AND METHODS
We searched the PubMed, Springer Link, Elsevier, and Embase databases for articles published in English before June 2015 using an electronic literature search and including cross-referenced articles. Three studies were eligible for the meta-analysis. The outcomes evaluated were operation time, estimated blood loss, harvested lymph nodes, complication, and postoperative hospital stay.
RESULTS
Of a total of 562 patients, 165 underwent RG and 397 underwent LG. Operation time was significantly longer in the RG group [weighted mean difference (WMD): 21.49, 95% confidence interval (CI): 12.48-30.50, P< 0.00001). Estimated blood loss, harvested lymph nodes, complication, and postoperative hospital stay were similar between the two groups.
CONCLUSION
Experienced RG has similar short-term outcomes to LG that is performed by sophisticated laparoscopic surgeons, except for operation time.
目的
本荟萃分析旨在比较经验丰富的机器人胃癌切除术（RG）与腹腔镜胃癌切除术（LG）的短期疗效。
材料与方法
我们通过电子文献检索，在PubMed、Springer Link、Elsevier和Embase数据库中搜索2015年6月之前发表的英文文章，并纳入交叉引用的文章。三项研究符合荟萃分析的条件。评估的结果包括手术时间、估计失血量、获取的淋巴结数量、并发症和术后住院时间。
结果
在总共562例患者中，165例行RG，397例行LG。RG组的手术时间明显更长[加权平均差（WMD）：21.49，95%置信区间（CI）：12.48 - 30.50，P < 0.00001]。两组之间的估计失血量、获取的淋巴结数量、并发症和术后住院时间相似。
结论
经验丰富的RG与由经验丰富的腹腔镜外科医生实施的LG相比，除手术时间外，短期疗效相似。
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