腹腔镜外科杂志2013，Vol.18Issue(1)：4-11,8.
常规腹腔镜与单孔腹腔镜在结肠切除术中应用价值比较的Meta分析
Application value of conventional multiport laparoscopic colectomy versus single-incision laparoscopic colectomy: a meta-analysis
于晓天 1鱼海峰 1蒋超 1张楷 1张淼 1张云1
作者信息
- 1. 江苏大学附属宜兴医院,江苏宜兴,214200
- 折叠
摘要
Abstract
Objective:To compare the validity and safety of conventional multiport laparoscopic colectomy (CMLC) with single-incision laparoscopic colectomy (SILC) and to investigate the potential advantages and application value of SILC. Methods:Studies and relevant literatures comparing SILC to CMLC were searched through PubMed.the Cochrane Library and so on. Operative time,estimated blood loss,the rate of conversion to open surgery or additional port,the rate of postoperative complications,and length of hospital stay were pooled and compared using RevMan 5.0. The relative risk and mean difference were calculated with 95% confidence intervals to evaluate the safety and efficacy of each technique. Results: Eighteen studies comparing 542 patients undergoing SILC to 678 patients undergoing CMLC were reviewed and the data were pooled for analysis. Patients undergoing SILC had a shorter length of hospital stay ( pooled mean difference = -0. 38 ;95% CI: -0. 63 to -0. 13 ; P = 0. 002 ) , less estimated blood loss ( pooled mean difference = -20. 25 ; 95% CI:-30.25 to -1. 24;P =0.04) ,while there was no significant difference in the incidence of postoperative complications (pooled risk ratios = 0. 89 ;95% CI :0.69 to 1. 14;P = 0. 36) , operative time (pooled mean difference = 3. 90;95% CI:-2. 45 to 10. 24;P = 0.23) or the rate of conversion to open surgery/adding ports( pooled risk ratios = 1.67;95% CI:0. 96 to 2. 91 ;P = 0. 07). Conclusions: SILC is safe,feasible and effective,appears to have comparable results to CMLC in the hands of experienced surgeons. Moreover, SILC has the relative benefits of surgical trauma, postoperative recovery, minimally invasiveness, cosmetology and postoperative pain over CMLC,it has broad application value and development prospects. Large scale RCTs and high quality comparative studies are needed to conduct.关键词
结肠切除术/腹腔镜检查/单孔/Meta分析Key words
Colectomy/ Laparoscopy/ Single-incision/ Meta-analysis分类
医药卫生引用本文复制引用
于晓天,鱼海峰,蒋超,张楷,张淼,张云..常规腹腔镜与单孔腹腔镜在结肠切除术中应用价值比较的Meta分析[J].腹腔镜外科杂志,2013,18(1):4-11,8.
