腹腔镜全胃切除术中的体内与体外缩:一个系统的审查和元分析
Shafquat Zaman1,2, Mohammad Iqbal Hussain3, Maria Kausar4
1Department of General Surgery, Queen's Hospital Burton, University Hospitals of Derby and Burton NHS Foundation Trust, Burton on Trent, UK.
International journal of surgery (London, England)
|February 26, 2025
概括
胃癌的腹腔镜全胃切除术后的体内食管结节术 (IOJ) 与体外食管结节术 (EOJ) 相比,显示出较低的静脉狭窄和手术部位感染 (SSI) 风险. 需要进一步的随机研究才能进行明确的比较.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 胃癌的治疗通常包括腹腔镜全胃切除术 (LTG).
- 输卵管结合器的重建可以在体内 (IOJ) 或体外 (EOJ) 进行.
- 在LTG之后,IOJ和EOJ之间的比较结果需要进行彻底的评估.
研究的目的:
- 为了比较体内食管结合器 (IOJ) 与体外食管结合器 (EOJ) 的结果.
- 评估胃癌的腹腔镜全胃切除术 (LTG) 后的并发症和康复指标.
主要方法:
- 一个系统的文献综述和对比研究的元分析.
- 包括非随机化研究,比较胃恶性瘤的LTG后的IOJ和EOJ.
- 评估主要结果 (解剖管泄漏,出血,收缩) 和次要结果 (手术时间,LOS,感染等). ) 的情况.
主要成果:
- 分析了17项涉及2960名患者的研究.
- 身体内食管结节术 (IOJ) 显示了显著较低的静脉狭窄和手术部位感染 (SSI) 发生率.
- 在IOJ和EOJ之间没有观察到异位泄漏,手术时间,住院时间或死亡率的显著差异.
结论:
- 身体内食管结节术 (IOJ) 可能在减少胃癌的LTG后的静脉狭窄和SSI方面具有优势.
- 外体方法 (EOJ) 在大多数其他评估结果中没有显著差异.
- 建议进行高质量,充足的随机对照试验,以进一步验证这些发现.
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