机器人与胸腔镜胸腺切除术：当前证据。
Robotic versus thoracoscopic thymectomy: The current evidence.
机构信息
Department of Haematology and Oncology, University Medical Center, Georg-August University, Göttingen, Germany.
Department of Medical Statistics, University Medical Center, Georg-August University, Göttingen, Germany.
出版信息
Int J Med Robot. 2017 Dec;13(4). doi: 10.1002/rcs.1847. Epub 2017 Jun 29.
BACKGROUND
The purpose of this study was to analyze all relevant comparative studies comparing robot-assisted minimally invasive thymectomy (RATS) and video-assisted thoracic surgery thymectomy (VATS) in terms of surgical and short-term outcomes.
METHODS
A systematic search for articles describing robot-assisted and video-assisted thymectomy and addressing surgical outcomes, operation time, length of hospitalization, intra-operative blood loss, conversion to sternotomy and post-operative complications was performed using the medical databases.
RESULTS
Of the 478 studies from preliminary screening, five articles were included. By pooling these studies, we found no significant differences between the RATS and VATS (odds ratio 1.24 (95% CI 0.51, 3.03; p = 0.63)).There were no significant differences in comparison of conversion rates, operation time (26.29 min (95% CI -2.57, 55.35; p = 0.07)) and length of hospitalization (-1.58 days (95% CI -4.78, 1.62; p = 0.33)). There was a slightly higher blood loss in the RATS group.
CONCLUSION
Our meta-analysis did not detect any statistically significant differences in surgery outcomes between the two groups.
背景
本研究旨在分析所有比较机器人辅助微创胸腺切除术（RATS）和电视辅助胸腔镜手术胸腺切除术（VATS）的相关研究，评估手术和短期结果。
方法
使用医学数据库对描述机器人辅助和电视辅助胸腺切除术以及解决手术结果、手术时间、住院时间、术中出血量、转为胸骨切开术和术后并发症的文章进行系统检索。
结果
在初步筛选的 478 项研究中，有 5 项文章符合入选标准。通过对这些研究进行汇总，我们发现 RATS 和 VATS 之间没有显著差异（优势比 1.24（95%置信区间 0.51，3.03；p = 0.63））。在转化率、手术时间（26.29 分钟（95%置信区间-2.57，55.35；p = 0.07））和住院时间（-1.58 天（95%置信区间-4.78，1.62；p = 0.33））方面比较，差异无统计学意义。RATS 组的出血量略高。
结论
我们的荟萃分析未发现两组手术结果有任何统计学差异。
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