Open versus laparoscopic splenectomy a meta-analysis of larger series
Open versus laparoscopic splenectomy a meta-analysis of larger series
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DOI：
10.21037/ales-20-90
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发表时间：
2020-10-01
影响因子：
0.5
通讯作者：
Carlini, Massimo
中科院分区：
文献类型：
--
作者：
Sandri, Giovanni Battista Levi;Spoletini, Domenico;Carlini, Massimo
背景：选择性脾切除的微创手术已经成为所有腹腔镜中心的常规手术。在第一个病例系列之后，许多研究小组发表了开放和腹腔镜方法之间的比较研究。为此，我们进行了一项荟萃分析，对开放与腹腔镜脾切除术的比较研究进行了调查。方法：对所有类型的手稿进行了审查，我们纳入了腹腔镜组数>= 50例的唯一研究。结果：文献检索进行至2019年12月31日，共识别出564条记录。全文分析后，12项研究被纳入荟萃分析。除一项研究外，所有研究中腹腔镜组的手术时间均更长。住院时间，发病率和死亡率是不太常见的腹腔镜group.Conclusions：较短的住院时间与良好的结果相关的增益，建议进行脾切除术的腹腔镜手术。
Background: Minimally invasive surgery for elective splenectomy has become a routine procedure in all laparoscopic centers. After first case series, many groups has published comparative studies between open and laparoscopic approach. For this purpose, a meta-analysis investigating comparative studies of open versus laparoscopic approach for splenectomy was performed.Methods: All kinds of manuscripts were reviewed, and we included the only studies with a laparoscopic group number >= 50 cases.Results: The literature search, performed until December 31, 2019, identified a total of 564 records. After full-text analysis, twelve studies were included in the meta-analysis. Operative time was higher for the laparoscopic group in all but one study. The length of stay, morbidity and mortality were less frequent in the laparoscopic group.Conclusions: The gain of shorter hospital-stay associated with the good outcomes suggests performing splenectomy by a laparoscopic procedure.