The safety and efficiency of surgery with colonic stents in left-sided malignant colonic obstruction: a meta-analysis.
The safety and efficiency of surgery with colonic stents in left-sided malignant colonic obstruction: a meta-analysis.
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结肠支架手术治疗左侧恶性结肠梗阻的安全性和效率：荟萃分析
DOI：
10.1155/2014/407325
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发表时间：
2014
影响因子：
2
通讯作者：
Cai K
中科院分区：
文献类型：
--
作者：
Zhao X;Liu B;Zhao E;Wang J;Cai M;Xia Z;Xia Q;Shuai X;Tao K;Wang G;Cai K
Objective.本荟萃分析旨在评估结肠自膨式金属支架（SEMS）作为外科手术治疗左半结肠恶性梗阻（LMCO）的桥梁的安全性和有效性。方法.在PubMed、Web of Knowledge、奥维德、Google Scholar、CNKI和WANGFANG中进行了一项系统性检索，以获得2001年1月至2013年9月期间比较结肠支架植入术作为半择期手术与急诊手术的桥接的相关随机试验。结果.本系统性综述纳入了5项已发表的研究，包括273例患者（140例男性/133例女性）。136例患者在安装SEMS后接受了半选择性手术，137例患者在未安装SEMS的情况下接受了急诊手术。SEMS干预导致总体结肠造口率（41.9% vs 56.2%，P = 0.02）、手术部位感染率（10.2% vs 19.7%，P = 0.03）和总体并发症率（29.2% vs 60.5%，P = 0.05）显著降低。两组初次吻合率、吻合口瘘发生率及手术相关死亡率差异无统计学意义。结论.半选择性手术，SEMS作为桥梁，适当的病人LMCO可以降低结肠造口，手术部位感染和并发症的总率。
Objective. This meta-analysis is aimed at assessing the safety and efficiency of colonic self-expanding metallic stents (SEMS) used as a bridge to surgery in the management of left-sided malignant colonic obstruction (LMCO). Methods. A systematic search was conducted in PubMed, Web of Knowledge, OVID, Google Scholar, CNKI, and WANGFANG for relevant randomized trials comparing colonic stenting used as a bridge in semielective surgery versus emergency surgery from January 2001 to September 2013. Result. Five published studies were included in this systematic review, including 273 patients (140 male/133 female). 136 patients received semielective surgery after SEMS installation while 137 patients underwent emergency surgery without SEMS. SEMS intervention resulted in significantly lower overall colostomy rate (41.9% versus 56.2%, P = 0.02), surgical site infection rate (10.2% versus 19.7%, P = 0.03), and overall complication rate (29.2% versus 60.5%, P = 0.05). There was no statistic difference for the rate of primary anastomosis, anastomotic leak and operation-related mortality between two groups. Conclusions. semielective surgery with SEMS as a bridge for proper patients of LMCO can lower the overall rate for colostomy, surgical site infection, and complications.
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影响因子：
9
作者：
Sabbagh, Charles;Browet, Francois;Regimbeau, Jean-Marc
通讯作者：
Regimbeau, Jean-Marc
DOI：
10.1007/s00464-011-1835-6
发表时间：
2012-01-01
影响因子：
3.1
作者：
Zhang, Yi;Shi, Jian;Chen, Yue-Xiang
通讯作者：
Chen, Yue-Xiang
影响因子：
2.6
作者：
Alcantara, M.;Serra-Aracil, X.;Navarro, S.
通讯作者：
Navarro, S.
影响因子：
--
作者：
Cheung, Hester Yui Shan;Chung, Chi Chiu;Li, Michael Ka Wah
通讯作者：
Li, Michael Ka Wah
DOI：
10.1016/0197-2456(95)00134-4
发表时间：
1996-02-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
Jadad, AR;Moore, RA;McQuay, HJ
通讯作者：
McQuay, HJ