Laparoscopic Surgery for Complex Crohn's Disease: A Meta-Analysis

被引:7
|
作者
Yu, Zhao-liang [1 ,2 ]
Lin, De-zheng [2 ,3 ]
Hu, Jian-cong [2 ,3 ]
Chen, Yu-feng [1 ,2 ]
Cai, Ze-rong [1 ,2 ]
Zou, Yi-feng [1 ,2 ]
Ke, Jia [1 ,2 ]
Guo, Xue-feng [2 ,3 ]
Lan, Ping [1 ,2 ]
Wu, Xiao-jian [1 ,2 ]
机构
[1] Sun Yat Sen Univ, Dept Colorectal Surg, Affiliated Hosp 6, 26 Yuancun Erheng Rd, Guangzhou 510655, Guangdong, Peoples R China
[2] Sun Yat Sen Univ, Guangdong Prov Key Lab Colorectal & Pelv Floor Di, Affiliated Hosp 6, Guangzhou, Guangdong, Peoples R China
[3] Sun Yat Sen Univ, Ambulatory Surg Ctr, Affiliated Hosp 6, Guangzhou, Guangdong, Peoples R China
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2019年 / 29卷 / 11期
关键词
complex Crohn's disease; laparoscopic surgery; meta-analysis; ILEOCECAL RESECTION; FEASIBILITY; OUTCOMES;
D O I
10.1089/lap.2019.0398
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim: There is still no consensus on whether laparoscopic surgery can be routinely recommended as a safe approach for complex Crohn's disease (CD). Methods: PubMed, Embase, and Cochrane library databases were searched (up to February 2019). Comparative studies reporting laparoscopic surgery for complex CD (LC group) comparing with simple CD (LS group) were included. The outcomes were blood loss, operative time, conversion rate, length of hospital stay, postoperative complications, and reoperation rate within 30 days after surgery. Results: Thirteen retrospective studies with 1120 participants were included. The LC group has significantly more blood loss (weighted mean difference [WMD] 43.64 mL; 95% confidence interval (CI) 8.37-78.91; P = .020), longer operative time (WMD 17.59 minutes; 95% CI 6.38-28.81; P = .002), higher conversion rate (WMD 2.04%; 95% CI 1.43-2.91; P < .001), and longer length of hospital stay (WMD 0.86 day; 95% CI 0.53-1.19; P < .001). Overall postoperative complication rates (WMD 0.98; 95% CI 0.71-1.34; P = .90) did not differ significantly between the 2 groups. Conclusions: LC is safe and feasible with comparable postoperative complications, although there is a more blood loss, longer operative time, higher conversion rate, and longer length of hospital stay.
引用
收藏
页码:1397 / 1404
页数:8
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