单切口与常规的三口腹腔镜尾切除术治疗急性尾炎:随机对照试验的元分析
Yin Han1, Hao Yuan1, Shuang Li1
1Department of Gastrointestinal Surgery, Chengdu Seventh People's Hospital (Affiliated Cancer Hospital of Chengdu Medical College), Chengdu, 610200, Sichuan, China.
Asian journal of surgery
|January 7, 2024
概括
单切口腹腔镜尾切除术 (SILA) 比传统腹腔镜尾切除术 (CTLA) 提供更快的恢复和更好的化品效果. 虽然SILA的操作时间更长,转化率更高,但它会提高患者的满意度,并更快地恢复正常活动.
科学领域:
- 手术创新 在外科创新.
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 急性尾炎仍然是一个常见的手术紧急情况.
- 传统的三端口腹腔镜尾切除术 (CTLA) 是标准的治疗方法.
- 单切口腹腔镜尾切除术 (SILA) 已成为一种侵入性较小的替代方案,但其疗效和安全性需要进一步评估.
研究的目的:
- 系统地评估与CTLA相比,SILA对急性尾炎的安全性和有效性.
- 为了比较关键的结果,包括操作时间,恢复,并发症和患者满意度.
主要方法:
- 进行了随机对照试验 (RCT) 的元分析.
- 在多个数据库中进行了搜索,包括PubMed,Embase和Cochrane图书馆.
- 用RevMan 5.3软件分析了26个RCT的数据.
主要成果:
- 与CTLA相比,SILA显示了更长的操作时间和更高的转换率到开放手术.
- 接受SILA治疗的患者恢复正常活动的时间显著缩短.
- SILA导致患者满意度和化品评分更高,术后疼痛,伤口感染或整体并发症率没有显著差异.
结论:
- SILA是急性尾炎的安全有效方法,在更快的恢复和更好的化品效果方面提供了好处.
- 偏好更好的化品结果的患者可能特别受益于SILA.
- 建议进行进一步的高质量的RCT来验证这些发现,因为包括的一些研究的质量很低.
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