临床小儿外科杂志Issue(2)：96-101,6.DOI:10.3969/j.issn.1671-6353.2015.02.005
腹腔镜辅助与开腹手术治疗先天性巨结肠的 Meta 分析
Meta-analyses of Laparoscopic-assisted operations versus open operations for Hirschsprung′s Disease
摘要
Abstract
Objective To assess the safety and efficacy of laparoscopic-assisted one-stage pull-through operation for Hirschsprung′s Disease(HD). Methods The original articles related to laparoscopic-assisted one-stage pull-through compared with open operations for HD published from January 1998 to August 2013 were Colleted in electronic databases(Pubmed,Foreign Medical Journal Service,Cochrane Controlled Trials Register, China National Knowledge Infrastructure,China Biology Medicine disc).9 articles were included,which com-pared the operation time,blood loss,length of postoperative hospital stays,bowel movements recovery time,rate of early-postoperative complications(wound infection,adhesive intestinal obstruction,urinary retention,postoper-ative hemorrhage),rate of late-postoperative complications(enterocolitis,fecal incontinence,constipation,soi-ling).Review Manger 5.2 software was used for Meta-analysis.Results A total of 456 patients with HD were enrolled.including 239 patients in laparoscopic-assisted one-stage pull-through operation and 195 patients in open operation.The intraoperative blood loss and the length of hospital stays were significantly less in laparo-scopic operation than that in open operation(P≤0.05).But there were no significant difference in operation time and first bowel movement time(P≥0.05).The early -postoperative complication rate was significantly lower in laparoscopic group than that in open group(11.61% vs 21.53%,P≤0.05).There were no significant difference in late-postoperative complication rate(32.90% vs 42.56%,P≥0.05)between two groups. Con-clusions Compared with open operations for HD,laparoscopic -assisted one -stage pull-through for HD is safe,which has lower operative damage and can recovery soon,it reduces the incidence of early-postoperative <br> complications.关键词
Hirschsprung 病/腹腔镜检查/剖腹术/手术后并发症Key words
Hirschsprung Disease/Laparoscopy/Laparotomy/Postoperative Complications引用本文复制引用
郑泽兵,刘远梅,金祝,王鑫,高明娟,曲颜..腹腔镜辅助与开腹手术治疗先天性巨结肠的 Meta 分析[J].临床小儿外科杂志,2015,(2):96-101,6.基金项目
贵州省省长基金临床应用专项基金（黔省专合字（2012）98号），项目名称腹腔镜辅助经肛门改良 Soave 一期根治先天性巨结肠的临床研究 （）
