中国实用外科杂志Issue(4)：351-355,5.
完全性腹腔镜远端胃癌根治术与腹腔镜辅助远端胃癌根治术疗效对比Meta分析
Totally laparoscopic distal gastrectomy and laparoscopic-assisted distal gastrectomy:A Meta-analysis of efficacy comparation
王君辅 1谢勇 1胡林 1李红浪1
作者信息
- 1. 南昌大学第二附属医院胃肠外科，江西南昌330006
- 折叠
摘要
Abstract
Objective To compare the effect difference of totally laparoscopic distal gastrectomy(TLDG) and laparoscopic-assisted distal gastrectomy(LADG). Methods Randomized controlled trial reports on TLDG and LADG from 2008 to 2013 were collected from PubMed,EMBASE,Medline,China National Knowledge Infrastructure (CNKI) and Wanfang databases. RevMan 5.1 software was used for data analysis. Results According to the included criteria, 6 clinical trials were selected finally. Meta-analysis showed that:blood loss in TLDG group was 31.26mL less than that in LADG group (P=0.005);The frequency of analgesic usage in the TLDG group was 0.38 times lower than LADG group (P=0.04);serum C-reactive protein levels decreased 0.93g/L after one day in TLDG group (P=0.03). There was no statistical difference in operation time, hospital stay, postoperative first exhaust time and complications between the two groups(P>0.05). Conclusion It could not demonstrate the clinical superiority of TLDG over LADG based on the current data. The surgical method may be selected according to patients’conditions and the surgeon’s preference.关键词
完全性腹腔镜远端胃癌根治术/腹腔镜辅助下远端胃癌根治术/Meta分析Key words
totally laparoscopic distal gastrectomy(TLDG)/laparoscopic-assisted distal gastrectomy(LADG)/meta-analysis分类
医药卫生引用本文复制引用
王君辅,谢勇,胡林,李红浪..完全性腹腔镜远端胃癌根治术与腹腔镜辅助远端胃癌根治术疗效对比Meta分析[J].中国实用外科杂志,2014,(4):351-355,5.
