中国普通外科杂志Issue(10)：1309-1315,7.DOI:10.7659/j.issn.1005-6947.2014.10.002
腹腔镜全胃切除术治疗进展期胃癌安全性与有效性的Meta分析
Safety and effectiveness of laparoscopic total gastrectomy for advanced gastric cancer：a Meta-analysis
曹宏泰 1李连顺 1杨洁 1毛春梅 1李玉民 1焦作义1
作者信息
- 1. 兰州大学第二医院 普外一科，甘肃 兰州 730000
- 折叠
摘要
Abstract
Objective: To systematically evaluate the safety and degree of lymph node dissection of laparoscopic total gastrectomy for advanced gastric cancer. <br> Methods: hTe randomized controlled trials or retrospective studies comparing laparoscopic total gastrectomy and open total gastrectomy for advanced gastric cancer were collected by searching several national and international databases. Data collection ended in May 2013. Atfer screening for inclusion, data extraction, and quality assessment, Meta-analysis was performed by the RevMan 5.2 sotfware. <br> Results: Six studies were finally selected involving 1 115 patients, of whom 547 underwent laparoscopic surgery and 568 cases were subjected to open surgery. Results of the Meta-analysis showed that laparoscopic total gastrectomy versus open surgery for advanced gastric cancer reduced the incidence of complications, intraoperative blood loss and length of hospital stay; but prolonged the operative time (allP<0.05), and however, made no statistical difference in number of dissected lymph nodes (P>0.05). <br> Conclusion: Compared with open surgery, laparoscopic total gastrectomy for advanced gastric cancer is superior in minimal invasion and safety, and can achieve a similar lymph node dissection effect.关键词
胃肿瘤/胃切除术/腹腔镜/Meta分析Key words
Stomach Neoplasms/Gastrectomy/Laparoscopes/Meta-Analysis分类
医药卫生引用本文复制引用
曹宏泰,李连顺,杨洁,毛春梅,李玉民,焦作义..腹腔镜全胃切除术治疗进展期胃癌安全性与有效性的Meta分析[J].中国普通外科杂志,2014,(10):1309-1315,7.
