دورية أكاديمية
Comparison of short-term surgical outcomes and post-operative recovery between single-incision and multi-port laparoscopic distal gastrectomy for gastric cancer
العنوان: | Comparison of short-term surgical outcomes and post-operative recovery between single-incision and multi-port laparoscopic distal gastrectomy for gastric cancer |
---|---|
المؤلفون: | Lin Lin, Qingwen Xu, Feipeng Xu, Caijin Zhou, Xianjin Huang, Rihong Chen, Haiping Jiang |
المصدر: | Journal of Minimal Access Surgery, Vol 18, Iss 4, Pp 578-584 (2022) |
بيانات النشر: | Wolters Kluwer Medknow Publications, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Surgery LCC:Diseases of the digestive system. Gastroenterology |
مصطلحات موضوعية: | gastric cancer, laparoscopic gastrectomy, laparoscopic surgery, short-term outcomes, single-incision, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869 |
الوصف: | Background: To summarise data from previous reports and perform a meta-analysis to compare the short-term surgical outcomes and post-operative recovery between single-incision and multi-port laparoscopic distal gastrectomy (MLDG) for gastric cancer. Methods: A systematic literature search was performed using PubMed and Embase databases and relevant data were extracted. Short-term surgical outcomes and post-operative recovery of single-incision laparoscopic distal gastrectomy (SLDG) and MLDG for gastric cancer were compared using a fixed or random-effect model. Results: In total, we identified five relevant studies involving 983 participants for this systematic review and meta-analysis, and 45.8% (450/983) of patients underwent SLDG. The results demonstrated that mean operation time (weighted mean difference [WMD]:-3.22, 95% confidence interval [CI]: 14.64,8.19, P = 0.580; I2 = 75.6%), intra-operative blood loss (WMD:-19.77, 95% CI: 40.20,0.65, P = 0.058; I2 = 85.0%) and lymph node yield (WMD:-0.71, 95% CI: 1.47, 0.05, P = 0.068; I2 = 0%) of SLDG were comparable to those of MLDG for gastric cancer. In addition, SLDG had a similar incidence of post-operative complications compared with MLDG (odds ratio: 0.82, 95% CI: 0.55-1.22, P = 0.326; I2 = 0%). There was no significant difference between the two surgical procedures for the conversion to open surgery (OR: 0.32, 95%CI: 0.03-3.15, P = 0.331; I2 = 0%), the length of hospital stay (WMD:-0.05, 95% CI: 0.65, 0.55, P = 0.876; I2 = 44.1%), the time to first flatus (WMD:-0.24, 95% CI: 0.58, 0.10, P = 0.169; I2 = 85.3%) and the time to oral intake (WMD:-0.05, 95% CI: 0.20, 0.10, P = 0.500; I2 = 0%). Conclusion: Single-incision laparoscopic gastrectomy may be technically feasible and safe for gastric cancer. However, it did not show a more obvious advantage over MLDG. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 0972-9941 1998-3921 |
Relation: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=4;spage=578;epage=584;aulast=Lin; https://doaj.org/toc/0972-9941; https://doaj.org/toc/1998-3921 |
DOI: | 10.4103/jmas.jmas_219_21 |
URL الوصول: | https://doaj.org/article/4a28d280711a40cca74a11dc03c7604f |
رقم الأكسشن: | edsdoj.4a28d280711a40cca74a11dc03c7604f |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 09729941 19983921 |
---|---|
DOI: | 10.4103/jmas.jmas_219_21 |