• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

腹腔镜联合胃镜定位治疗胃间质瘤的疗效与安全性：一项系统评价和Meta分析

The efficacy and safety of laparoscopy combined with gastroscopy positioning in treating gastric stromal tumours: A systematic review and meta-analysis.

作者信息

Zhang Hu, Chen Jie, Chen Chen

机构信息

Department of General Surgery, Xintai City People's Hospital, Xintai, Shandong Province, China.

Department of Intensive Care Unit, Xintai City People's Hospital, Xintai, Shandong Province, China.

出版信息

J Minim Access Surg. 2021 Apr-Jun;17(2):147-152. doi: 10.4103/jmas.JMAS_294_19.

DOI:10.4103/jmas.JMAS_294_19
PMID:33723177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8083734/
Abstract

BACKGROUND AND OBJECTIVES

The objective was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery.

METHODS

The randomised controlled trials (RCTs), which are about the efficacy and safety of laparoscopy combined with gastroscopy positioning surgery in treating gastric stromal tumours were searched from the PubMed (1998-1990-2018.6), Wanfang Data (1990-2018.6), China National Knowledge Infrastructure (1979-2018.6) and International Statistical Institute (1998-2018.6). The data were extracted from these trials, and the meta-analysis was made through from RevMan 5.3 software.

RESULTS

Six RCTs involving 451 patients were included in the study (227 patients in the laparoscopy combined with gastroscopy positioning group and 224 patients in laparoscopic surgery group). Compared with laparoscopic surgery group, this meta-analysis showed that laparoscopy combined with gastroscopy positioning group could shorten the post-operation hospital stay (P < 0.05) and reduce the intraoperative blood loss (P < 0.05). However, there was no significant difference in others between the two groups, such as operation time (P > 0.05), post-operative time of recovery of intestinal peristalsis (P > 0.05) and the total hospital stay (P > 0.05).

CONCLUSION

Compared with laparoscopic surgery group, the better total effect occurs in laparoscopy combined with gastroscopy positioning group for the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable.

摘要

背景与目的

目的是评估腹腔镜联合胃镜定位手术治疗胃间质瘤的疗效及安全性。

方法

从PubMed（1998 - 1990 - 2018.6）、万方数据（1990 - 2018.6）、中国知网（1979 - 2018.6）及国际统计学会（1998 - 2018.6）检索关于腹腔镜联合胃镜定位手术治疗胃间质瘤疗效及安全性的随机对照试验（RCT）。从这些试验中提取数据，并通过RevMan 5.3软件进行荟萃分析。

结果

本研究纳入6项RCT，共451例患者（腹腔镜联合胃镜定位组227例，腹腔镜手术组224例）。与腹腔镜手术组相比，本荟萃分析表明腹腔镜联合胃镜定位组可缩短术后住院时间（P < 0.05）并减少术中出血量（P < 0.05）。然而，两组在其他方面无显著差异，如手术时间（P > 0.05）、术后肠道蠕动恢复时间（P > 0.05）及总住院时间（P > 0.05）。

结论

与腹腔镜手术组相比，腹腔镜联合胃镜定位组治疗胃间质瘤的总体效果更好。腹腔镜联合胃镜定位组治疗胃间质瘤是可接受的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/31c2454ea59e/JMAS-17-147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/1248e14509a6/JMAS-17-147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/15a8fccbf5a3/JMAS-17-147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/42d1f389761a/JMAS-17-147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/d9d3f40df9ac/JMAS-17-147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/f3f529f0fbb9/JMAS-17-147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/a7fc9fa44428/JMAS-17-147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/31c2454ea59e/JMAS-17-147-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/1248e14509a6/JMAS-17-147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/15a8fccbf5a3/JMAS-17-147-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/42d1f389761a/JMAS-17-147-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/d9d3f40df9ac/JMAS-17-147-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/f3f529f0fbb9/JMAS-17-147-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/a7fc9fa44428/JMAS-17-147-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3395/8083734/31c2454ea59e/JMAS-17-147-g007.jpg

相似文献

1
The efficacy and safety of laparoscopy combined with gastroscopy positioning in treating gastric stromal tumours: A systematic review and meta-analysis.腹腔镜联合胃镜定位治疗胃间质瘤的疗效与安全性：一项系统评价和Meta分析
J Minim Access Surg. 2021 Apr-Jun;17(2):147-152. doi: 10.4103/jmas.JMAS_294_19.
2
Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis.腹腔镜联合胃镜定位与开放切除治疗胃间质瘤的比较：一项Meta分析
J Minim Access Surg. 2020 Oct-Dec;16(4):298-307. doi: 10.4103/jmas.JMAS_269_19.
3
Safety and efficiency of endoscopic resection versus laparoscopic resection in gastric gastrointestinal stromal tumours: A systematic review and meta-analysis.内镜切除术与腹腔镜切除术治疗胃胃肠间质瘤的安全性和有效性：系统评价和荟萃分析。
Eur J Surg Oncol. 2020 Apr;46(4 Pt A):667-674. doi: 10.1016/j.ejso.2019.10.030. Epub 2019 Dec 13.
4
Full-thickness endoscopic resection of nonintracavitary gastric stromal tumors: a novel approach.内镜下全层切除术治疗非腔外型胃间质瘤：一种新方法。
Surg Endosc. 2011 Feb;25(2):641-7. doi: 10.1007/s00464-010-1189-5. Epub 2010 Jun 30.
5
[Efficacy comparison between laparoscopy and open surgery in the treatment of gastric gastrointestinal stromal tumors larger than 2 cm using multicenter propensity score matching method].[多中心倾向评分匹配法比较腹腔镜与开放手术治疗直径大于2cm胃胃肠道间质瘤的疗效]
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Sep 25;23(9):888-895. doi: 10.3760/cma.j.cn.441530-20200616-00366.
6
Meta-Analysis on the Efficacy and Safety of Laparoscopic Surgery for Large Gastric Gastrointestinal Stromal Tumors.腹腔镜手术治疗大型胃胃肠间质瘤的疗效及安全性的Meta 分析
Am Surg. 2021 Mar;87(3):450-457. doi: 10.1177/0003134820951482. Epub 2020 Oct 7.
7
Efficacy of fast track surgery in laparoscopic radical gastrectomy for gastric cancer:a meta-analysis of randomized controlled trials.加速康复外科在腹腔镜胃癌根治术中的疗效:一项随机对照试验的荟萃分析。
Int J Surg. 2018 Feb;50:28-34. doi: 10.1016/j.ijsu.2017.12.026. Epub 2017 Dec 26.
8
[Clinical analysis of laparoscopic and endoscopic cooperative surgery in the treatment of gastric gastrointestinal stromal tumor: report of 46 cases].腹腔镜与内镜联合手术治疗胃胃肠道间质瘤的临床分析：附46例报告
Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Mar;15(3):240-2.
9
Endoscopic full-thickness resection and laparoscopic surgery for treatment of gastric stromal tumors.内镜全层切除术与腹腔镜手术治疗胃间质瘤
World J Gastroenterol. 2014 Jul 7;20(25):8253-9. doi: 10.3748/wjg.v20.i25.8253.
10
Effectiveness and safety of endoscopic resection for gastric GISTs: a systematic review.内镜下切除胃间质瘤的有效性和安全性：一项系统评价
Minim Invasive Ther Allied Technol. 2018 Jun;27(3):127-137. doi: 10.1080/13645706.2017.1347097. Epub 2017 Jul 6.

引用本文的文献

1
A Multi-Centric Comparative Study Between Endoscopy-Assisted Laparoscopic Surgery (EALS) vs Laparoscopic Surgery for the Treatment of Gastric Duplication Cysts in Children.内镜辅助腹腔镜手术（EALS）与腹腔镜手术治疗儿童胃重复囊肿的多中心比较研究
Ther Clin Risk Manag. 2023 Oct 11;19:801-810. doi: 10.2147/TCRM.S426691. eCollection 2023.
2
Use of an intragastric trocar to perform a novel stapling procedure for reflux disease.使用胃内套管针进行一种治疗反流性疾病的新型吻合器手术。
Endosc Int Open. 2022 Nov 15;10(11):E1508-E1513. doi: 10.1055/a-1933-6573. eCollection 2022 Nov.

本文引用的文献

1
Laparoscopic endoscopic cooperative surgery as a minimally invasive treatment for gastric submucosal tumor.腹腔镜内镜联合手术作为胃黏膜下肿瘤的微创治疗方法
World J Gastrointest Endosc. 2015 Oct 10;7(14):1150-6. doi: 10.4253/wjge.v7.i14.1150.
2
Laparoscopic endoscopic cooperative surgery.腹腔镜内镜协同手术。
Dig Endosc. 2015 Jan;27(2):197-204. doi: 10.1111/den.12404.
3
Long-term and surgical outcomes of laparoscopic surgery for gastric gastrointestinal stromal tumors.腹腔镜手术治疗胃胃肠道间质瘤的长期及手术效果
Surg Endosc. 2014 Aug;28(8):2317-22. doi: 10.1007/s00464-014-3459-0. Epub 2014 Feb 25.
4
Feasibility and safety of laparoscopic and endoscopic cooperative surgery for gastric submucosal tumors, including esophagogastric junction tumors.腹腔镜与内镜联合手术治疗胃固有层肿瘤（包括食管胃结合部肿瘤）的可行性和安全性。
Dig Endosc. 2014 Jul;26(4):538-44. doi: 10.1111/den.12215. Epub 2013 Dec 19.
5
Imatinib mesylate in clinically suspected gastric stromal tumors.甲磺酸伊马替尼治疗临床疑似胃间质瘤。
Chin J Cancer Res. 2013 Oct;25(5):600-2. doi: 10.3978/j.issn.1000-9604.2013.10.14.
6
Minimally invasive treatment of laparoscopic and endoscopic cooperative surgery for patients with gastric gastrointestinal stromal tumors.胃胃肠间质瘤患者的腹腔镜与内镜联合微创手术治疗。
J Dig Dis. 2013 Sep;14(9):469-73. doi: 10.1111/1751-2980.12076.
7
The use of bioabsorbable staple-line reinforcement performing stapled hemorrhoidopexy to decrease the risk of postoperative bleeding.使用生物可吸收吻合线加固技术进行吻合器痔上黏膜环切术以降低术后出血风险。
Am Surg. 2012 Nov;78(11):1255-60.
8
Successful gastric submucosal tumor resection using laparoscopic and endoscopic cooperative surgery.成功实施腹腔镜与内镜联合手术切除胃黏膜下肿瘤。
World J Surg. 2012 Feb;36(2):327-30. doi: 10.1007/s00268-011-1387-x.
9
Risk of recurrence of gastrointestinal stromal tumour after surgery: an analysis of pooled population-based cohorts.手术后胃肠道间质瘤复发风险：基于人群队列的汇总分析。
Lancet Oncol. 2012 Mar;13(3):265-74. doi: 10.1016/S1470-2045(11)70299-6. Epub 2011 Dec 6.
10
Laparoscopic resection for gastrointestinal stromal tumors in the stomach.腹腔镜胃间质瘤切除术。
Surg Today. 2012 Jun;42(6):554-8. doi: 10.1007/s00595-011-0072-x. Epub 2011 Nov 30.