机器人胃切除术与腹腔镜胃切除术治疗胃癌的短期疗效的 Meta分析

目的 比较机器人和腹腔镜胃切除术治疗胃癌的可行性及短期疗效。方法 收集机器人胃切除术(RG)和腹腔镜胃切除术 (LG)与胃癌短期疗效相关文献,通过检索相关文献,共纳入了849例接受RG的病人和1 141例接受LG的病人。提取两组病人手术时间、术中出血量、淋巴结清扫数量、术后至恢复流质饮食时间、术后至首次排气时间、术后住院时间以及术后短期并发症等数据,采用 RevMan 5.3软件对两者疗效进行Meta分析,并将纳入的研究按照胃癌切除范围不同,分为混合组、远端胃及全胃3个亚组进行亚组分析。结果 共纳入文献150篇,入选14篇。其中849例胃癌病人接受RG,1 141例病人接受LG;RG组与LG组手术时间、术中失血量、清除淋巴结数目、术后至首次排气的时间及住院时间比较,P均＜0.05;而术后至恢复流质饮食时间及术后短期并发症比较,P均>0.05。结论 与 LG 相比,RG是胃癌病人的一种安全可行的治疗方法。然而,RG并不完全优于LG。今后对RG的研究应侧重于缩短手术时间、降低术后并发症的发生率从而提高胃癌治疗的有效性。

Meta-analysis of short-term efficacy of robotic and laparoscopic gastrectomy for gastric cancer

Objective To compare the feasibility and short-term efficacy of robotic and laparoscopic gastrectomy for gastric cancer. Methods The literatures about the short-term efficacy of robotic gastrectomy (RG) and Laparoscopic gastrectomy (LG) from gastric cancer were collected. There are 849 patients receiving TG and 1 141 patients receiving LG were delecteded in the literature. The extrate data about operation time, blood loss, lymph node dissection, restore fluid diet time, first exhaust time after surgery, hospital stay after surgery, and short-term complications after surgery from the two groups were needed. This meta-analysis use RevMan 5.3 software to analyze data and we divided the studies into three groups for subgroup analysis. Results A total of 150 documents and 14 were selected. Among them, 849 patients with gastric cancer received TG, and 1 141 patients received LG. The results showed that there were significant differences in the operation time, blood loss, number of lymph nodes removed, first exhaust time after surgery, and hospital stay in the RG group and the LG group (P<0.05). There was no significant difference in restore fluid diet time and short-term complications (P>0.05). Conclusion Compared with LG, RG was a safe and feasible treatment for patients with gastric cancer. However, RG is not completely better than LG.From now on. It should focus on decreasing the operation time and reducing the incidence of complications after surgery to improve the effectiveness of treatment .