CAJ | 학술논문

目的对机器人辅助与传统腹腔镜在胆囊微创外科的效果进行荟萃分析。方法制定并严格遵照文献的纳入与排除标准，从中外文数据库检索近10年的有关机器人和传统腹腔镜治疗胆囊疾病的公开发表的论文或会议论文。按照Cochrane风险评估偏倚工具进行文献质量评价，选取转开腹率、并发症、术中出血量为主要结局指标；选取住院时间、手术时间为次要结局指标。应用RevMan5.2软件对提取数据进行统计学分析。结果文献检索最终有5篇文献符合纳入标准，5篇文献中共报告了586例患者，其中机器人组309例，腹腔镜组277例。与腹腔镜手术系统相比，机器人手术系统在并发症发生率、中转开腹率、术中出血量及住院时间方面无明显差异；机器人手术系统需要更长的手术时间，差异性显著。结论在胆囊微创外科方面，相比于腹腔镜系统，机器人手术系统并无明显优势,需要更多设计严谨和大样本的随机对照实验来进一步明确该项技术的优劣势。
목적대궤기인보조여전통복강경재담낭미창외과적효과진행회췌분석。방법제정병엄격준조문헌적납입여배제표준，종중외문수거고검색근10년적유관궤기인화전통복강경치료담낭질병적공개발표적논문혹회의논문。안조Cochrane풍험평고편의공구진행문헌질량평개，선취전개복솔、병발증、술중출혈량위주요결국지표；선취주원시간、수술시간위차요결국지표。응용RevMan5.2연건대제취수거진행통계학분석。결과문헌검색최종유5편문헌부합납입표준，5편문헌중공보고료586례환자，기중궤기인조309례，복강경조277례。여복강경수술계통상비，궤기인수술계통재병발증발생솔、중전개복솔、술중출혈량급주원시간방면무명현차이；궤기인수술계통수요경장적수술시간，차이성현저。결론재담낭미창외과방면，상비우복강경계통，궤기인수술계통병무명현우세,수요경다설계엄근화대양본적수궤대조실험래진일보명학해항기술적우열세。
Objective To compare the safety and ef icacy of robot assisted surgery and laparoscopic surgery ingal bladder with respect to adult patients. Methods A systematic article search and review were performed. Foreign and Chinese database were used in our study.Published studies comparing robot assisted sugery versus laparoscopic surgery was eligible for inclusion. The main outcome were conversion rate, complication, blood loss and second outcomes were operation time, postoperative hospital stay. RevMan5.2 software was used to do statistical analysis. Results Five artical reporting data on 586 patients have been included in our study, There was no significant dif erences between robot assisted surgery and laparoscopic surgery in conversion rate, complication, bloodloss, operationtime, postoperative hospital stay. There was significant dif erence between robot assisted surgery and laparoscopic surgery in operative time. Conclusion Based on cur ent studies, we cannot concluded robot assisted surgery is bet er than laparoscopic surgery. We need more wel designed multicenter randomized control ed trial to assess the safety and ef icacy of robot-assisted surgery.