国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
1期
23-29
,共7页
阑尾切除术%腹腔镜%单孔%Meta分析
闌尾切除術%腹腔鏡%單孔%Meta分析
란미절제술%복강경%단공%Meta분석
Appendectomy%Laparoscopes%Single-site%Meta-analysis
目的 通过与经典三孔腔镜阑尾切除术(CLA)比较,系统评价与Meta分析经脐单孔腔镜阑尾切除术(SSLA)的安全可行性.方法 从PubMed、Embase、Cochrane Library等电子数据库中检索2000年1月1日-2012年12月31日发表的文献,筛选出具有SSLA与CLA对照的、研究对象为成年人的腔镜阑尾切除术英文文献,运用Stata软件进行Meta分析.结果 共有11篇文献,2008年3月-2011年10月接受手术的998例患者纳入本研究,其中SSLA组435例,CLA组563例.SSLA组患者与CLA组患者比较,两组的手术时间(z=1.48,P=0.140)、术后24 h内疼痛评分(z=0.83,P=0.409)、术后进食时间(z=0.38,P=0.707)、并发症发病率(z=0.46,P =0.647)及患者住院时间(z=0.36,P=0.722)差异均无统计学意义.结论 SSLA的手术时间、术后疼痛、术后恢复饮食时间、术后并发症、住院时间与CLA没有差异.
目的 通過與經典三孔腔鏡闌尾切除術(CLA)比較,繫統評價與Meta分析經臍單孔腔鏡闌尾切除術(SSLA)的安全可行性.方法 從PubMed、Embase、Cochrane Library等電子數據庫中檢索2000年1月1日-2012年12月31日髮錶的文獻,篩選齣具有SSLA與CLA對照的、研究對象為成年人的腔鏡闌尾切除術英文文獻,運用Stata軟件進行Meta分析.結果 共有11篇文獻,2008年3月-2011年10月接受手術的998例患者納入本研究,其中SSLA組435例,CLA組563例.SSLA組患者與CLA組患者比較,兩組的手術時間(z=1.48,P=0.140)、術後24 h內疼痛評分(z=0.83,P=0.409)、術後進食時間(z=0.38,P=0.707)、併髮癥髮病率(z=0.46,P =0.647)及患者住院時間(z=0.36,P=0.722)差異均無統計學意義.結論 SSLA的手術時間、術後疼痛、術後恢複飲食時間、術後併髮癥、住院時間與CLA沒有差異.
목적 통과여경전삼공강경란미절제술(CLA)비교,계통평개여Meta분석경제단공강경란미절제술(SSLA)적안전가행성.방법 종PubMed、Embase、Cochrane Library등전자수거고중검색2000년1월1일-2012년12월31일발표적문헌,사선출구유SSLA여CLA대조적、연구대상위성년인적강경란미절제술영문문헌,운용Stata연건진행Meta분석.결과 공유11편문헌,2008년3월-2011년10월접수수술적998례환자납입본연구,기중SSLA조435례,CLA조563례.SSLA조환자여CLA조환자비교,량조적수술시간(z=1.48,P=0.140)、술후24 h내동통평분(z=0.83,P=0.409)、술후진식시간(z=0.38,P=0.707)、병발증발병솔(z=0.46,P =0.647)급환자주원시간(z=0.36,P=0.722)차이균무통계학의의.결론 SSLA적수술시간、술후동통、술후회복음식시간、술후병발증、주원시간여CLA몰유차이.
Objective This study aimed at evaluating the safety and feasibility of transumbilical single site laparoscopic appendectomy (SSLA) by systematic review and Meta analysis of literature comparing with conventional tree-port laparoscopic appendectomy (CLA).Methods The articles published from January 2000 to December 2012 were searched from electronic databases of PubMed,Embase,and the Cochrane Library.The literature with comparative studies of SSLA with CLA for adult patients was selected.And,the systematic review and Meta analysis carried out using Stata software.Results Eleven articles with 998 cases receiving operation during March 2008 to October 2011 were enrolled into study.There were 435 cases with SSLA and 563 cases with CLA.Compared the cases with SSLA and cases with CLA,there was no difference significantly in operative time (z =1.48,P =0.140),pain score in the 24 hours after surgery (z =0.83,P =0.409),diet start(z =0.38,P =0.707),postoperative complications (z =0.46,P =0.647),hospital stay (z =0.36,P =0.722).Conclusions SSLA are not different in operative time,postoperative pain,diet start,postoperative complications,hospital time comparing with that in CLA.
