腹腔镜外科杂志2011，Vol.16Issue(10)：737-741,5.
腹腔镜与开腹手术治疗结肠癌远期疗效的Meta分析
A Meta-analysis of the long-term outcomes of laparoscopic and open surgery for colonic cancer
康建省 1刘国超 1乔占英 1侯森林 1李涛 1马利锋 1张立超1
作者信息
- 1. 河北医科大学第二医院,河北,石家庄,050000
- 折叠
摘要
Abstract
Objective: To compare the long-term outcomes of laparoscopic surgery and open surgery for colonic cancer. Methods; The randomized controlled trials between Jan. 1995 and Jul. 2011, reported on the long-term outcomes of laparoscopic versus open surgery for colon cancer,were collected by searches of CHKD,VIP,PUBMED,EMCC and the Ovid database. The standard of literature enrollment and exclusion was made, according to which the literatures were selected. Jadad scale was used to evaluate the chosen study. Data were extracted from these trials and data analysis was performed by RevMan 4.2.8. Results: According to the same screening criteria , a total of 2 689 patients from 6 trials were included (1 347 patients in the laparoscopic surgery group and 1 342 patients in the open surgery group). Except body mass index,the age,gender,tumor stage and ASA class were similar between the two groups. There was no statistically significant difference in the long-term outcomes between the two groups, including recurrence rate, local recurrence rate,distant metastasis rate,port site or incision implantation metastasis rate,survival rate in 3 years and 5 years,no-tumor survival rate in 3 years and 5 years. Conclusions;The long-term outcomes are similar between laparoscopic and open surgery for colon cancer. Laparoscopic surgery for colon cancer is an acceptable alternative.关键词
结肠肿瘤/腹腔镜检查/剖腹术/远期疗效/Meta分析Key words
Colonic neoplasms/ Laparoscopy/ Laparotomy/ Long-term outcome/ M eta-analysis分类
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康建省,刘国超,乔占英,侯森林,李涛,马利锋,张立超..腹腔镜与开腹手术治疗结肠癌远期疗效的Meta分析[J].腹腔镜外科杂志,2011,16(10):737-741,5.
