首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2016年 10期 肝病免疫和自身免疫性肝病 => 其他 =>腹腔镜与开放肝总管空..
腹腔镜与开放肝总管空肠Roux-en-Y吻合术后并发症比较的Meta分析
Postoperative complications of laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis: a Meta-analysis
文章发布日期:2016年09月07日  来源:  作者:林洋,魏威,张晓辉,等  点击次数:1349次  下载次数:226次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:目的评价腹腔镜与开放肝总管空肠Roux-en-Y吻合术后并发症发生率。 方法检索PubMed、Web of Science、中国知网、维普、万方数据库,收集腹腔镜与开放肝总管空肠Roux-en-Y吻合术后并发症的相关研究,检索时限均为从建库至2016年5月20日,由2位研究者根据纳入与排除标准独立筛选文献、提取资料和评价质量,采用 STATA12.0软件对术后总并发症、切口感染、黏连性肠梗阻和胆漏的发生率进行分析。结果纳入9篇文献共548例患者,腹腔镜组261例,开腹组287例。腹腔镜组与开腹组相比,总并发症发生率低[比值比(OR)=0.40,95%可信区间(95%CI):0.24~0.68), P=0.001],切口感染发生率低(OR=0.20, 95%CI:0.08~0.53,P=0.001),黏连性肠梗阻发生率低(OR=0.25,95%CI:0.06~0.99,P=0.049),差异均有统计学意义;2组间胆漏发生率差异无统计学意义(P>0.05)。结论 腹腔镜肝总管空肠Roux-en-Y吻合术较开放手术可降低术后总并发症、黏连性肠梗阻和切口感染发生率,是安全、可行的手术方式。
【Abstract】:ObjectiveTo investigate the incidence of postoperative complications in laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis. MethodsThe databases of PubMed, Web of Science, CNKI, VIP, and Wanfang Data were searched for related studies on postoperative complications in laparoscopic or open common hepatic duct-jejunal Roux-en-Y anastomosis published up to May 20, 2016. Two reviewers performed literature screening according to inclusion and exclusion criteria, data extraction, and quality assessment independently. STATA12.0 software was used for the meta-analysis. ResultsA total of 9 studies with 548 patients were enrolled. Among these patients, 261 underwent laparoscopic surgery and 287 underwent open surgery. The results of the meta-analysis showed that compared with the open surgery group, the laparoscopic surgery group had lower incidence rates of total complications (OR=040, 95% CI: 0.24-0.68, P=0.001), incision infection (OR=0.20, 95% CI: 0.08-0.53, P=0.001), and adhesive ileus (OR=0.25, 95% CI: 0.06-0.99, P=0.049). However, there was no significant difference in the incidence of bile leakage between the two groups (P>0.05). ConclusionCompared with open surgery, laparoscopic common hepatic duct-jejunal Roux-en-Y anastomosis has a lower incidence of total postoperative complications, and therefore, it is a safe and feasible surgical procedure.
【关键字】:腹腔镜检查; 吻合术, Roux-en-Y; 手术后并发症; Meta分析
【Key words】:laparoscopy; anastomosis, Roux-en-Y; postoperative complications; Meta-analysis
【引证本文】:林洋, 魏威, 张晓辉, 等. 腹腔镜与开放肝总管空肠Roux-en-Y吻合术后并发症比较的Meta分析[J]. 临床肝胆病杂志, 2016, 32(10): 1959-1963.

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号