Suppr超能文献

机器人手术和开放手术对胃癌手术患者伤口并发症的影响:一项荟萃分析。

Impact of robotic and open surgery on patient wound complications in gastric cancer surgery: A meta-analysis.

机构信息

Department of Medical Oncology of Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

Department of Oncology, The Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, China.

出版信息

Int Wound J. 2023 Dec;20(10):4262-4271. doi: 10.1111/iwj.14328. Epub 2023 Jul 26.

Abstract

This meta-analysis is intended to evaluate the effect of both robotic and open-cut operations on postoperative complications of stomach carcinoma. From the earliest date until June 2023, a full and systemic search has been carried out on four main databases with keywords extracted from 'Robot', 'Gastr' and 'Opene'. The ROBINS-I instrument has been applied to evaluate the risk of bias in nonrandomized controlled trials. In these 11 trials, a total of 16 095 patients had received surgical treatment for stomach cancer and all 11 trials were nonrandomized, controlled trials. Abdominal abscesses were reported in 5 trials, wound infections in 8 trials, haemorrhage in 7 trials, wound dehiscence in 2 trials and total postoperative complications in 4 trials. Meta-analyses revealed no statistically significantly different rates of postoperative abdominal abscesses among patients who had received robotic operations than in those who had received open surgical procedures (OR, 0.91; 95% CI, 0.25, 3.36; p = 0.89). The incidence of bleeding after surgery was not significantly different from that in both groups (OR, 1.37; 95% CI, 0.69, 2.75; p = 0.37). Similarly, there was no significant difference between the two groups (OR, 0.78; 95% CI, 0.52, 1.18; p = 0.24). No significant difference was found between the two groups (OR, 1. 28; 95% CI, 0.75, 2.21; p = 0.36). No significant difference was found between the two groups of patients who had received the robotic operation and those who had received the surgery after the operation (OR, 1.14; 95% CI, 0.78, 1.66; p = 0.49). Generally speaking, this meta-analysis suggests that the use of robotics does not result in a reduction in certain postsurgical complications, including wound infections and abdominal abscesses. Thus, the use of a microinvasive robot for stomach carcinoma operation might not be better than that performed on the surgical site after the operation. This is a valuable guide for the surgeon to select the operative method.

摘要

本荟萃分析旨在评估机器人手术和开放式手术对胃癌术后并发症的影响。从最早的日期到 2023 年 6 月,我们在四个主要数据库中进行了全面的系统性检索,提取了“机器人”、“胃”和“开腹”等关键词。使用 ROBINS-I 工具评估了非随机对照试验的偏倚风险。在这 11 项试验中,共有 16095 例胃癌患者接受了手术治疗,所有 11 项试验均为非随机对照试验。有 5 项试验报告了腹部脓肿,8 项试验报告了伤口感染,7 项试验报告了出血,2 项试验报告了伤口裂开,4 项试验报告了总术后并发症。荟萃分析显示,接受机器人手术的患者与接受开放式手术的患者术后腹部脓肿发生率无统计学差异(OR,0.91;95%CI,0.25,3.36;p=0.89)。术后出血的发生率在两组间无显著差异(OR,1.37;95%CI,0.69,2.75;p=0.37)。同样,两组间也无显著差异(OR,0.78;95%CI,0.52,1.18;p=0.24)。两组间无显著差异(OR,1.28;95%CI,0.75,2.21;p=0.4)。接受机器人手术的患者与接受手术后手术的患者间无显著差异(OR,1.14;95%CI,0.78,1.66;p=0.49)。一般来说,这项荟萃分析表明,使用机器人并不能降低某些术后并发症的发生率,包括伤口感染和腹部脓肿。因此,对于胃癌患者,使用微创机器人手术可能并不优于开腹手术。这为外科医生选择手术方法提供了有价值的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92ee/10681412/34021b49cf95/IWJ-20-4262-g007.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验