手助腹腔镜手术与腹腔镜右半结肠切除术的比较：一项荟萃分析。

Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis.

机构信息

Department of Gastrointestinal Surgery & Hernia and Abdominal Wall Surgery, The First Hospital, China Medical University, Shenyang, Liaoning Province, China.

出版信息

World J Surg Oncol. 2017 Dec 4;15(1):215. doi: 10.1186/s12957-017-1277-2.

DOI:10.1186/s12957-017-1277-2

PMID:29202820

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5716022/

Abstract

OBJECTIVE

The objective of this study is to systematically assess the clinical efficacy of hand-assisted laparoscopic surgery (HALS) and laparoscopic right colectomy (LRC).

METHODS

The randomized controlled trials (RCTs) and non-RCTs were collected by searching electronic databases (Pubmed, Embase, and the Cochrane Library). The outcomes included intraoperative outcomes, postoperative outcomes, postoperative morbidity, and oncologic outcomes. Meta-analysis was performed using of RevMan 5.3 software.

RESULTS

A total of five studies involving 438 patients were finally included, with 202 cases in HALS group and 236 cases in LRC group. Results of meta-analysis showed that there was no statistical difference between HALS and LRC in terms of conversion rate, length of hospital stay, reoperation rate, postoperative morbidity, and oncologic outcomes. The operative time was 6.5 min shorter in HALS group; however, it was not a clinically significant difference. Although the incision length was longer in HALS, it did not influence the postoperative recovery.

CONCLUSIONS

HALS can be considered an alternative to LRC which combines the advantages of open as well as laparoscopic surgery.

摘要

目的

本研究旨在系统评估手助腹腔镜手术（HALS）与腹腔镜右半结肠切除术（LRC）的临床疗效。

方法

通过检索电子数据库（Pubmed、Embase 和 Cochrane Library）收集随机对照试验（RCT）和非随机对照试验。结果包括术中结果、术后结果、术后发病率和肿瘤学结果。使用 RevMan 5.3 软件进行荟萃分析。

结果

最终纳入了 5 项研究共 438 例患者，HALS 组 202 例，LRC 组 236 例。荟萃分析结果显示，HALS 组与 LRC 组在中转率、住院时间、再次手术率、术后发病率和肿瘤学结果方面无统计学差异。HALS 组的手术时间比 LRC 组短 6.5 分钟，但无临床意义。虽然 HALS 的切口长度较长，但并不影响术后恢复。