中国实用外科杂志Issue(5):541-545,5.DOI:10.7504/CJPS.ISSN1005-2208.2015.05.25
腹腔镜手术与开腹手术治疗胃肠间质瘤对比Meta分析
Laparoscopic versus open surgery for gastrointestinal stromal tumor:a meta-analysis
李进权 1虞黎明 1赖斌 1陈子文 1夏克江 1朱培谦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 evaluate the safety and efficacy of laparoscopic-assisted resection(LAP)for gastrointestinal stromal tumor(GISIs)by systematic review and meta-analysis. Methods The English literature comparing LAP and open resection (OPEN) for GISIs publicly published from January 2004 to March 2014 were searched from several international online databases. After screening for inclusion,data extraction,and quality assessment,Meta-analysis was conducted by the Review Manager 5.2 software. Results There are Twelve studies meeting the inclusion criteria for meta—analysis.The total sample size of these studies was 719 cases,of whom,345 cases underwent LAP and 374 cases were subjected to OPEN.Compared to OPEN,LAP not only experienced shorter time of postoperative flatus(P=0.04), liquid(P<0.05) and hospital stay(P<0.05),but also experienced less postoperative complications(P<0.05) and recurrence rate(P<0.05). The number of operative time and intraoperative blood loss were similar between the two groups (P>0.05).Conclusion LAP is a safe and feasible procedure and has a good short-term effect.关键词
胃肠间质瘤/腹腔镜手术/开腹手术/Meta分析Key words
gastrointestinal stromal tumor/laparoscopic surgery/open surgery/Meta-analysis分类
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李进权,虞黎明,赖斌,陈子文,夏克江,朱培谦..腹腔镜手术与开腹手术治疗胃肠间质瘤对比Meta分析[J].中国实用外科杂志,2015,(5):541-545,5.