机器人辅助的Soave pull-through程序的Hirschsprung病的结果:一个系统的审查和元分析
Syed Balaj Ali Rizvi1, Laiba Khalid1, Fatima Shahid2
1Medical College, Aga Khan University, Karachi, 74800, Pakistan.
Journal of robotic surgery
|February 4, 2026
概括
机器人辅助的Soave pull-through (RSPT) 是希尔施普隆病 (HD) 的一个可行的最小侵入性选择,显示出低血损失和短暂的住院时间. 虽然操作时间更长,但功能结果是可以接受的,这需要进一步研究.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 赫施普朗格病 (HD) 通常用拉透程序来治疗.
- 腹腔镜辅助的手术是常见的,但机器人辅助的Soave pull-through (RSPT) 提供了一个最小侵入性的替代方案.
- 在治疗HD时,RSPT可能会提供技术优势.
研究的目的:
- 系统地审查关于Hirschsprung病 (HD) 机器人辅助Soave pull-through (RSPT) 的文献.
- 评估儿科患者RSPT的外科和功能结果.
- 为了比较RSPT与已建立的腹腔镜方法.
主要方法:
- 在PubMed,Embase,Scopus,Cochrane CENTRAL和ClinicalTrials.gov的系统文献搜索到2025年2月.
- 包括对接受RSPT的儿科患者 (18岁以下) 的回顾性研究.
- 使用随机效应模型进行聚合分析,并进行异质性评估 (I2, τ2).
主要成果:
- 包括6项涉及282名患者的研究.
- 聚合运行时间:192.2分钟;控制台时间:105.6分钟.
- 平均血液损失:9.8毫升;整体术后停留时间 (LOS):6.5天.
- 手术后的并发症是轻微的和可控的.
结论:
- RSPT是一种可行的最小侵入性选择,用于低血流和短暂的LOS的HD.
- 功能性结果是可以接受的,尽管归因于物流的运营时间较长.
- 需要进一步进行高质量的多中心试验,以确定RSPT与腹腔镜方法相比的作用.
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