摘要
目的系统评价机器人腹股沟疝修补术的临床效果及安全性。方法检索PubMed、Cochrane Library、Embase、知网、万方、维普数据库中关于机器人治疗腹股沟疝的临床对照研究,检索时间为数据库建立至2020年12月。按照纳入与排除标准筛选文献后,使用Jadad量表或纽卡斯尔-渥太华量表分别对随机对照研究和观察性研究进行文献质量评价,采用RevMan5.3软件进行meta分析。结果本研究最终纳入符合标准的相关文献12篇,总样本量7 661例,其中机器人腹股沟疝修补术1 746例,传统手术5 915例(其中开放腹股沟疝修补术4 361例、腹腔镜腹股沟疝修补术1 554例)。机器人手术时间明显长于传统手术(P<0.01)及开放手术(P<0.01)或腹腔镜手术(P<0.01),机器人手术的住院费用明显高于传统手术(P<0.01)和腹腔镜手术(P<0.01),但机器人手术再入院率明显低于传统手术(P<0.01)和开放手术(P<0.01)。其他结局指标在机器人手术和开放手术或腹腔镜手术间比较差异无统计学意义(P>0.05)。结论机器人腹股沟疝修补术是安全、可行的,这为我们治疗腹股沟疝提供了一种新的方式选择。
Objective To systematically evaluate the clinical effect and safety of robotic inguinal hernia repair(robotic surgery). Methods The control studies on robotic surgery in treatment of inguinal hernia were searched in the English databases(PubMed, Cochrane Library, Embase) and Chinese databases(CNKI, Wanfang, VIP). The search time was from the establishment of the database to December 2020. After screening the literatures according to the inclusion and exclusion criteria, the Jadad scale was used to evaluate the literature quality of randomized controlled studies, the Newcastle-Ottawa scale(NOS) was used to evaluate the literature quality of the retrospective studies, and the RevMan5.3 software was used for meta-analysis. Results Twelve relevant articles with a total sample size of 7 661 cases that met the criteria were included in this study, including 1 746 cases of robotic inguinal hernia repair(robotic surgery),4 361 cases of open inguinal hernia repair(open surgery), and 1 554 cases of laparoscopic inguinal hernia repair(laparoscopic surgery). The surgery time of the robotic surgery was longer than that of the traditional(including open and laparoscopic) surgery(P<0.01), open surgery(P<0.01) or laparoscopic surgery(P<0.01);The hospitalization cost of the robotic surgery was higher than that of traditional surgery(P<0.01) and open surgery(P<0.01). However, the readmission rate of the robotic surgery was lower than that of the traditional surgery(P<0.01) and open surgery(P<0.01). There were no significant differences in the other indicators between the robotic surgery and open surgery or laparoscopic surgery(P>0.05). Conclusion Robotic inguinal hernia repair is safe and feasible, which provides us a new way to treat inguinal hernia.
作者
黄恒
冷波
刁文吉
HUANG Heng;LENG Bo;DIAO Wenji(Department General Surgery,Hernia and Abdominal Surgery,Affiliated Hospital of Traditional Chinese Medicine,Southwest Medical University,Luzhou,Sichuan 646000,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2021年第12期1625-1631,共7页
Chinese Journal of Bases and Clinics In General Surgery
