在左侧结肠切除后的结肠直肠解剖中,动力循环合器的影响:系统性审查和元分析
Andrea Scardino1,2, Carlo Galdino Riva3,4, Luca Sorrentino3
1Colorectal Surgery Unit, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian 1, 20133, Milan, Italy. andrea.scardino@unimi.it.
International journal of colorectal disease
|September 27, 2024
概括
动力循环合器 (PCS) 与手动循环合器 (MCS) 相比,在左侧结肠手术后显著减少解剖漏洞和出血. 然而,PCS并没有影响重新运营或转换率,因此需要进一步研究.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术技术 手术技术
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 解剖漏 (AL) 是左侧结肠解剖后的一个主要并发症.
- 动体构造中的技术错误增加了AL的发生率.
- 动力循环接机 (PCS) 旨在减少与手动循环接机 (MCS) 相关的错误和并发症.
研究的目的:
- 为了比较PCS与MCS在结直肠外科手术中的疗效.
- 为了评估PCS对门漏血 (AL) 和门出血 (AB) 率的影响.
- 评估PCS对转换和重新运营率的影响.
主要方法:
- 观察性研究的系统审查和元分析.
- 在Web of Science,PubMed和Embase的电子搜索.
- 评估AL,AB,转换和重新操作的发生率.
主要成果:
- 分析了包括2379名患者在内的5项研究.
- 与MCS相比,PCS显示AL (RR 0.44) 和AB (RR 0.23) 的发生率明显较低 (p < 0.01).
- 在PCS和MCS之间的转换率 (p=0.25) 或重新运行率 (p=0.57) 没有显著差异.
结论:
- 使用PCS与左侧结肠手术中AL和AB发病率降低有关.
- PCS不会显著影响再干预或转换率.
- 需要进行随机临床试验来证实这些发现并完善外科手术策略.
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