Wang Zheng, Zhu Hai-Hong, Yang Jin-Yu, Wang Yan, Gai Zhi-Gang, Ma Fu-Cai, Yang De-Wu
Department of Graduate School, Qinghai University, Xining, Qinghai Province, China.
Department of General Surgery, Qinghai Provincial People's Hospital, Xining, Qinghai Province, China.
Wideochir Inne Tech Maloinwazyjne. 2022 Sep;17(3):406-417. doi: 10.5114/wiitm.2022.115225. Epub 2022 Apr 5.
There still exist controversies about the advantages and disadvantages of laparoscopic and traditional open surgery.
This meta-analysis aimed to compare the efficacy and safety of laparoscopic versus traditional laparotomy in hepatic cystic hydatidosis.
A systematic literature search was conducted for studies about liver hydatid surgery. After the quality assessment and relevant data extraction, the article was screened and included according to the inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3 software.
Thirteen studies included 1211 cases, 362 in the laparoscopic group, and 849 in the open surgery group. According to meta-analysis, laparoscopic surgery is superior to traditional open surgery in terms of length of hospital stay, the recovery time of gastrointestinal function, total complications, and the risk of incision infection. There were no significant differences between laparoscopic surgery and traditional open surgery in operation time, postoperative time of abdominal drainage tube removal, recurrence rate, bile leakage rate, biliary fistula rate, and residual cavity infection rate.
Laparoscopy is superior to traditional open surgery in terms of length of hospital stay, the recovery time of gastrointestinal function, total complications, and the risk of incision infection. There was no significant difference in postoperative recurrence between laparoscopy and open surgery. In addition, we think laparoscopy can achieve the same clinical effect as laparotomy. However, the reliability and validity of our conclusion need to be verified by more randomized controlled trials (RCTs).
腹腔镜手术与传统开放手术的优缺点仍存在争议。
本荟萃分析旨在比较腹腔镜手术与传统剖腹手术治疗肝包虫囊肿的疗效和安全性。
对有关肝包虫手术的研究进行系统的文献检索。经过质量评估和相关数据提取后，根据纳入和排除标准对文章进行筛选和纳入。使用RevMan 5.3软件进行荟萃分析。
13项研究共纳入1211例患者，其中腹腔镜组362例，开放手术组849例。根据荟萃分析，腹腔镜手术在住院时间、胃肠功能恢复时间、总并发症及切口感染风险方面优于传统开放手术。腹腔镜手术与传统开放手术在手术时间、术后腹腔引流管拔除时间、复发率、胆漏率、胆瘘率及残腔感染率方面无显著差异。
腹腔镜手术在住院时间、胃肠功能恢复时间、总并发症及切口感染风险方面优于传统开放手术。腹腔镜手术与开放手术术后复发无显著差异。此外，我们认为腹腔镜手术可达到与剖腹手术相同的临床效果。然而，我们结论的可靠性和有效性需要更多随机对照试验（RCT）加以验证。
