通过阴道自然孔透光内镜 (vNOTES) 右侧大肠切除术的安全性和有效性:系统性审查
Georgia Dimopoulou1, Konstantinos Perivoliotis2, Evangelos Lolis3
1Department of Surgery, "Achillopouleion" General Hospital, 382 22 Volos, Greece.
Cancers
|August 28, 2025
概括
通过阴道自然孔透光内镜 (vNOTES) 的右侧切除证明了安全性和有效性. 需要进一步的高质量试验来证实这些发现.
科学领域:
- 最少侵入性的手术
- 胃肠道外科
- 外科创新
背景情况:
- 经阴道自然孔透光内镜手术 (vNOTES) 是一种新兴的技术.
- 关于vNOTES右侧切除术的安全性和有效性的数据有限.
研究的目的:
- 系统地审查和汇集vNOTES右侧切除术的安全性和有效性数据.
- 评估与vNOTES右侧切除术相关的并发症率,手术持续时间和住院时间.
主要方法:
- 按照柯克兰手册和PRISMA指南进行系统审查.
- 包括六项研究进行数据分析.
- 使用NHLBI质量评估工具进行质量评估.
主要成果:
- 总体发病率为21. 9% (95% CI: 10. 7 - 33. 2%).
- 在手术期间发生的不良事件占19. 9%.
- 平均手术时间为176.42分钟,平均住院时间为8.68天.
结论:
- 这似乎是一个安全有效的手术方法.
- 由于研究的局限性,需要进一步进行大规模,高质量的试验来验证研究结果.
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