laparoscopic vs. 开放环结节切除术逆转:随机和非随机研究的元分析
Fabio Rondelli1, Alessandro Gemini2, Saverio Cerasari1
1Department of General Surgery and Surgical Specialties, University of Perugia, "S. Maria" Hospital, 05100, Terni, Italy.
Langenbeck's archives of surgery
|August 24, 2023
概括
laparoscopic loop ileostomy reversal (LLIR) 提供了比开放环节静脉切除术逆转 (OLIR) 更短的住院时间和更少的并发症. 内体解剖进一步改善了结果,而外体方法显示了与开放手术相似的风险.
科学领域:
- 胃肠道手术 胃肠道手术
- 最少侵入性手术的方法
- 手术结果研究研究.
背景情况:
- 脊髓切除术逆转是一种常见的外科手术程序.
- 传统的开放循环静脉切除术逆转 (OLIR) 是标准的方法.
- 腹腔镜技术在康复和并发症率方面具有潜在的优势.
研究的目的:
- 为了比较腹腔镜循环静脉切除术逆转 (LLIR) 与OLIR.
- 为了评估腹腔镜技术在逆转乳房静脉切开术中的好处.
- 评估主要和次要结果,包括住院,并发症和手术时间.
主要方法:
- 4项涉及354名患者的研究的元分析.
- 针对主要终点的LLIR与OLIR的比较:住院和整体并发症.
- 二级终点包括手术时间,血液损失,再入院和各种并发症类型.
- 基于体外 (ELLIR) 和体内 (ILLIR) 腹腔镜方法的子组分析.
主要成果:
- 与OLIR相比,LLIR显示住院时间显著缩短 (MD = -0.67) 和整体并发症较少 (RR = 0.64).
- 对于LLIR (MD = 19.18) 的操作时间更长.
- 内体LLIR (ILLIR) 与OLIR相比,显示了住院时间 (MD = -0.92) 和整体并发症 (RR = 0.38) 的显著减少.
- 身体外解体显示了与开放技术相似的风险.
结论:
- 与OLIR相比,LLIR提供了优势,包括减少住院治疗和减少并发症.
- 与OLIR相比,体内LLIR与更好的结果有关.
- 身体外腹腔镜解剖并不能减轻与开放手术相关的风险.
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