International journal of clinical and experimental medicine · 2015
Comparison of the efficacy and safety of laparoscopic-assisted operations and open operations for Hirschsprung's disease: evidence from a meta-analysis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhao Bin, Liu Tao, Li Qinghao
Аннотация
PURPOSE: To determine the efficacy and safety of laparoscopic-assisted operations compared with open operations, used for the treatment of Hirschsprung's disease (HD).
METHODS: Pertinent studies were identified by searching of PubMed and Web of Science. We analyzed dichotomous variables by estimating odds ratios (OR) with their 95% confidence interval (CI) and continuous variables using the weighted mean difference (WMD) with the 95% CI. The random effect model was used to combine the results.
RESULTS: Nine articles involving a total of 421 patients were included in this meta-analysis. For operation time of patients with HD, pooled data demonstrated a significantly shorter time in the laparoscopic operations group compared with open operations group (WMD = -0.27, 95% CI = -0.49, -0.05). The intraoperative blood loss was fewer in the laparoscopic operations group than open operations group (WMD = -1.05, 95% CI = -1.56, -0.54). The length of postoperative hospital was significantly shorter in the laparoscopic operations group. The number of complications was significantly lower in laparoscopic operations group than open operations group.
CONCLUSIONS: Our results suggested that laparoscopic-assisted operation is generally safer and more reliable than open operation for patients with HD.
METHODS: Pertinent studies were identified by searching of PubMed and Web of Science. We analyzed dichotomous variables by estimating odds ratios (OR) with their 95% confidence interval (CI) and continuous variables using the weighted mean difference (WMD) with the 95% CI. The random effect model was used to combine the results.
RESULTS: Nine articles involving a total of 421 patients were included in this meta-analysis. For operation time of patients with HD, pooled data demonstrated a significantly shorter time in the laparoscopic operations group compared with open operations group (WMD = -0.27, 95% CI = -0.49, -0.05). The intraoperative blood loss was fewer in the laparoscopic operations group than open operations group (WMD = -1.05, 95% CI = -1.56, -0.54). The length of postoperative hospital was significantly shorter in the laparoscopic operations group. The number of complications was significantly lower in laparoscopic operations group than open operations group.
CONCLUSIONS: Our results suggested that laparoscopic-assisted operation is generally safer and more reliable than open operation for patients with HD.