[1]于爱军①谢海艇 崔龙 张利 傅卫＊.腹腔镜与开腹全直肠系膜切除术后吻合口漏发生率的meta分析[J].中国微创外科杂志,2013,13(8):724-728.
　Yu Aijun,Xie Haiting*,Cui Long*,et al.Incidence of Postoperative Anastomotic Leakage of Laparoscopic and Open Total Mesorectal Excision for Rectal Cancer:Metaanalysis[J].Chinese Journal of Minimally Invasive Surgery,2013,13(8):724-728.
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腹腔镜与开腹全直肠系膜切除术后吻合口漏发生率的meta分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年8期
页码:
724-728
栏目:
Meta分析
出版日期:
2013-08-20

文章信息/Info

Title:
Incidence of Postoperative Anastomotic Leakage of Laparoscopic and Open Total Mesorectal Excision for Rectal Cancer:Metaanalysis
作者:
于爱军①谢海艇 崔龙 张利 傅卫＊
北京大学第三医院普通外科，北京100191
Author(s):
Yu Aijun;  Xie Haiting*;  Cui Long*;  et al.
*Department of General Surgery, Peking University Third Hospital, Beijing 100191, China
关键词:
直肠癌; 全直肠系膜切除术; 腹腔镜手术; 吻合口漏; meta分析
Keywords:
Rectal cancer; Total mesorectal excision; Laparoscopic surgery; Anastomotic leakage; Metaanalysis
分类号:
R7353+706
文献标志码:
A
摘要:
目的探讨腹腔镜与开腹全直肠系膜切除术后吻合口漏发生率是否存在差异。方法计算机检索Pubmed、Springer、Conchrane图书馆、万方全文数据库、中国知网全文数据库，筛选比较腹腔镜与开放全直肠系膜切除术后吻合口漏发生率的随机对照研究（RCT）和临床对照研究（CCT）。从文献提取数据，采用RevMan5.1.7软件进行统计学分析。结果共纳入6篇RCT 967例和23篇CCT 3106例直肠癌。腹腔镜与开放全直肠系膜切除术后吻合口漏发生率无统计学差异（RCT：RR=0.72，95%CI：0.37~1.37；CCT：OR=0.81，95%CI：0.61~1.08）。结论腹腔镜全直肠系膜切除术不会增加术后吻合口漏的风险。
Abstract:
ObjectiveTo explore the differences in the incidence of postoperative anastomotic leakage of laparoscopic and open total mesorectal excision (TME) for rectal cancer.MethodsThe randomized controlled trials (RCT) and controlled clinical trials (CCT) on the incidence of postoperative anastomotic leakage between laparoscopic and open total mesorectal excision for rectal cancer were collected by searching Pubmed, Springer, Conchrane Library, Wanfang database and CNKI．Data were extracted from these trials and data analysis was performed by RevMan 5.1.7.ResultsSix RCT of 967 cases and 23 CCT of 3106 cases were included. Analyses showed that the incidence of postoperative anastomotic leakage of laparoscopic and open total mesorectal excision for rectal cancer had no statistical significance (RR=0.72, 95%CI: 0.37-1.37 for RCT; OR=0.81, 95%CI: 0.61-1.08 for CCT).ConclusionLaparoscopic TME does not increase the incidence of postoperative anastomotic leakage.

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备注/Memo

备注/Memo:
＊通讯作者，Email：fuwei0720@sohu.com①北京大学第三医院国内访问学者，现工作单位：承德医学院附属医院普外一科，承德067000
更新日期/Last Update: 2014-10-14