机器人辅助与腹腔镜袖状胃切除术：当前证据综述
Robotic versus laparoscopic sleeve gastrectomy: a review of the current evidence.
作者信息
Tasiopoulou Vasiliki S, Svokos Alexis A, Svokos Konstantina A, Zacharoulis Dimitrios, Magouliotis Dimitrios E
机构信息
Department of Surgery, University Hospital of Larissa, Larissa, Greece.
Riverside Regional Medical Center, Newport News, VA, USA.
出版信息
Minerva Chir. 2018 Feb;73(1):55-63. doi: 10.23736/S0026-4733.17.07583-6. Epub 2017 Dec 14.
INTRODUCTION
The purpose of the present study was to review the existing evidence on obese patients treated with either robotic or laparoscopic sleeve gastrectomy, in order to compare the clinical and perioperative outcomes of the two methods.
EVIDENCE ACQUISITION
A systematic literature search was performed in PubMed, Cochrane library and Scopus databases.
EVIDENCE SYNTHESIS
Sixteen studies were included in the present review and incorporated 29,787 patients. RSG technique was associated with significantly increased mean operative time and length of hospital stay. Postoperative incidence of leakage, bleeding, wound infection and excess weight reduction were comparable between the two groups. The majority of the studies assessing cost found higher charges in RSG population.
CONCLUSIONS
Newer randomized controlled trials, comparing RSG to LSG, are necessary in order to further assess their clinical outcomes in relation to cost.
引言
本研究的目的是回顾关于接受机器人辅助或腹腔镜袖状胃切除术治疗的肥胖患者的现有证据，以比较这两种方法的临床和围手术期结果。
证据收集
在PubMed、Cochrane图书馆和Scopus数据库中进行了系统的文献检索。
证据综合
本综述纳入了16项研究，共29787例患者。机器人辅助袖状胃切除术（RSG）技术与平均手术时间和住院时间显著延长相关。两组之间的术后渗漏、出血、伤口感染和体重减轻情况相当。大多数评估成本的研究发现RSG组费用更高。
结论
有必要进行更新的随机对照试验，将RSG与腹腔镜袖状胃切除术（LSG）进行比较，以进一步评估它们在成本方面的临床结果。
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