机器人辅助腹腔镜直肠癌手术的Meta分析
Meta-analysis of Robot-assisted Laparoscopic Surgery for Rectal Cancer.
作者信息
Ohtani Hiroshi, Maeda Kiyoshi, Nomura Shinya, Shinto Osamu, Mizuyama Yoko, Nakagawa Hiroji, Nagahara Hisashi, Shibutani Masatsune, Fukuoka Tatsunari, Amano Ryosuke, Hirakawa Kosei, Ohira Masaichi
机构信息
Department of Surgery, Ohno Memorial Hospital, Osaka, Japan
Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan.
出版信息
In Vivo. 2018 May-Jun;32(3):611-623. doi: 10.21873/invivo.11283.
Abstract
BACKGROUND/AIM: A meta-analysis was conducted to evaluate and compare the short- and long-term outcomes of robot-assisted (RAS) and conventional laparoscopic surgery (LAS) for rectal cancer.
MATERIALS AND METHODS
We searched MEDLINE for relevant papers published between 2010 and December 2017 by using specific search terms. We analyzed outcomes over short- and long-term periods.
RESULTS
We identified 23 papers reporting results that compared RAS for rectal cancer with LAS. Our meta-analysis included 4,348 patients with rectal cancer; 2,068 had undergone RAS, and 2,280 had undergone LAS. In the short- and long-term period, 27 and 7 outcome variables were examined, respectively. RAS for rectal cancer was significantly associated with a greater operative time and a lower conversion rate to open surgery in the short-term, and results in almost similar outcomes in the long-term, compared to LAS.
CONCLUSION
RAS may be an acceptable surgical treatment option compared to LAS for rectal cancer.
摘要
背景/目的：进行一项荟萃分析以评估和比较机器人辅助手术（RAS）与传统腹腔镜手术（LAS）治疗直肠癌的短期和长期疗效。
材料与方法
我们使用特定检索词在MEDLINE数据库中检索2010年至2017年12月期间发表的相关论文。我们分析了短期和长期的疗效。
结果
我们确定了23篇报告直肠癌RAS与LAS比较结果的论文。我们的荟萃分析纳入了4348例直肠癌患者；其中2068例行RAS，2280例行LAS。在短期和长期分别检查了27项和7项疗效变量。与LAS相比，直肠癌RAS在短期内与更长的手术时间和更低的开腹手术转化率显著相关，而在长期则产生几乎相似的疗效。
结论
与LAS相比，RAS可能是一种可接受的直肠癌手术治疗选择。
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