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首页> 外文期刊>Medicine. >Comparison of Laparoscopic-Assisted Operations and Laparotomy Operations for the Treatment of Hirschsprung Disease Evidence From a Meta-Analysis
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Comparison of Laparoscopic-Assisted Operations and Laparotomy Operations for the Treatment of Hirschsprung Disease Evidence From a Meta-Analysis

机译：腹腔镜辅助操作和剖腹手术治疗荟萃分析治疗Hirschsprung疾病证据的比较

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摘要

The purpose of this meta-analysis is to compare the relative merits among laparoscopic-assisted operations and laparotomy operations for patients with Hirschsprung disease.PubMed, Web of Science, and Wanfang databases were searched for the related articles. We analyzed dichotomous variables by estimating odds ratios (ORs) with their 95% confidence intervals (CIs) and continuous variables using the weighted mean difference (WMD) with the 95% CI. The random-effects model (REM) was used to combine the results. The outcome measures included operating time (OT), estimated blood loss (EBL), length of hospital stay (LOHS), mean first bowel movement (MFBM), and number of complications.Sixteen articles were included in the meta-analysis. These studies involved a total of 774 patients, 396 of whom underwent laparoscopic-assisted operations and 378 of whom underwent laparotomy operations. The EBL (WMD=-1.48, 95% CI=-1.82, -1.13), LOHS (WMD=-0.67, 95% CI=-0.86, -0.49), MFBM (WMD=-0.83, 95% CI=-1.05, -0.61), and number of complications (OR=0.60, 95% CI=0.40, 0.89) were significantly lower in laparoscopic-assisted operations than in laparotomy operations. The OT (WMD=0.12, 95% CI=-0.05, 0.28) showed no significant differences between laparoscopic-assisted operations and laparotomy operations.Compared with laparotomy operations, laparoscopic-assisted operations are generally safer and more reliable for patients with Hirschsprung disease.
机译：该荟萃分析的目的是比较腹腔镜辅助操作和腹腔镜患者的腹腔切开术的相对优点。搜索相关文章的医疗，科学网站和万方数据库。通过使用95％CI的加权平均差异（WMD）估计其具有95％置信区间（CIS）和连续变量，通过估计多样性变量来分析二分变量。随机效果模型（REM）用于结合结果。结果措施包括运作时间（OT），估计血液损失（EBL），住院时间长度（LOHS），意味着第一次肠道运动（MFBM），以及并发症的数量。在荟萃分析中包括σ文章。这些研究涉及共有774名患者，396名受到腹腔镜辅助操作的396名，其中378名接受了剖腹手术作业。 EBL（WMD = -1.48,95％CI = -1.82，-1.13），LOHS（WMD = -0.67,95％CI = -0.86，-0.49），MFBM（WMD = -0.83,95％CI = -1.05腹腔镜辅助操作的腹腔镜辅助操作中的并发症次数（或= 0.60,95％CI = 0.40，0.89）显着降低。 OT（WMD = 0.12,95％CI = -0.05,0.28）显示，腹腔镜辅助操作和腹腔切开术之间没有显着差异。腹腔镜辅助操作对Hirschsprung病的患者通常更安全，更可靠。

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  • 来源
    《Medicine.》 |2015年第39期|共7页
  • 作者

    Zhang Shisong; Li Juan; Wu Yurui; Hu Yuanjun; Duan Chunhong; Wang Meiyun; Gai Zhongtao;

  • 作者单位

    Jinan Childrens Hosp Dept Pediat Surg Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp Dept Pediat Surg Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp Dept Pediat Surg Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp Dept Pediat Surg Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp 23976 Jingshi Rd Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp 23976 Jingshi Rd Jinan 250021 Shandong Peoples R China;

    Jinan Childrens Hosp 23976 Jingshi Rd Jinan 250021 Shandong Peoples R China;

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  • 正文语种 eng
  • 中图分类 医药、卫生;
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