Endoscopic thyroidectomy: an evidence-based research on feasibility, safety and clinical effectiveness
Endoscopic thyroidectomy: an evidence-based research on feasibility, safety and clinical effectiveness
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内镜甲状腺切除术：可行性、安全性和临床有效性的循证研究
DOI：
10.1097/00029330-200810020-00027
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发表时间：
2008-10-20
影响因子：
6.1
通讯作者：
Li Chun-lin
中科院分区：
文献类型：
--
作者：
Chen Xiao-dong;Peng Bing;Li Chun-lin
背景资料：方法：检索MEDLINE、科克伦系统评价数据库、美国内科医师学会期刊俱乐部、疗效评价摘要数据库、科克伦对照试验中心等数据库。选择与腔镜甲状腺切除术相关的比较性和非比较性研究进行分析。比较研究采用RevMan 4.2进行统计学分析，非比较研究采用SPSS13.0进行数据分析。结果：VAT-CT组共纳入7项比较研究，共367例患者，其中电视辅助甲状腺切除术（VAT）174例，传统甲状腺切除术（CT）193例。年龄、性别、手术方式、病理诊断相似。与CT相比，VAT的平均手术时间明显延长（VAT，80.0分钟; CT，61.9分钟，P
Background: The feasibility and safety of endoscopic thyroidectomy were evaluated by an approach of systematic review of published studies in the past decade.Methods: A database searching was performed on MEDLINE, Cochrane Database of Systematic Reviews, American College of Physicians Journal Club, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials. Both comparative and non-comparative studies about endoscopic thyroidectomy were selected and analyzed. For the comparative studies, RevMan 4.2 was used for statistical analysis; and for the non-comparative studies, data analysis was performed by SPSS 13.0.Results: Seven comparative studies involving 367 patients (video-assisted thyroidectomy (VAT), 174 patients; conventional thyroidectomy (CT), 193 patients) were included in VAT-CT group. Age, gender, operative types, and pathological diagnosis were similar. Compared with CT, the mean operative time for VAT was significantly longer (VAT, 80.0 minutes; CT, 61.9 minutes, P