基于荟萃分析的腹腔镜手术治疗肝囊型包虫病的疗效评价

目的:探讨腹腔镜手术治疗肝囊型包虫病的疗效。方法:在万方医学、维普、知网、PubMed、ScienceDirect、Web of Science等文献平台以"肝囊型包虫病"、"细粒棘球蚴"、"手术"、"开腹手术"、"腹腔镜"、"微创手术"、"hepatic cystic echinococcosis"、"echinoc...

Clinical efficacy of laparoscopic surgery for hepatic cystic echinococcosis:a meta-analysis

Objective To explore the curative effect of laparoscopic surgery for hepatic cysticercosis.Methods Search the literature from February 2010 to February 2020 on literature platforms such as Wanfang Data,VIP,CNKI,Pubmed,ScienceDirect,Web of Science,etc.the key words were"肝囊型包虫病","细粒棘球蚴","手术","开腹手术","腹腔镜","微创手术","echinococcosis","liver or hepatic","laparoscopic or minimal invasive".Data on intraoperative indicators(e.g.,operation time,bleeding volume),postoperative complications,hospital stay,recurrence rate,etc.in the literature included in the study were extracted and meta-analyzed.Results A total of 9 articles were included,including 2 prospective studies and 7 retrospective case-control studies.A total of 1031 patients were enrolled,including 272 in the laparoscopic group and 759 in the laparotomy group.The results of the meta-analysis showed that the total postoperative complication rate in the laparoscopic group was lower than that in the laparotomy group(OR=1.64,95%CI:1.10-2.45,P<0.05).Incision-related complications in the laparoscopy group and laparotomy group the difference was statistically significant(OR=2.81,95%CI:1.03-7.70,P<0.05),and the hospital stay in the laparoscopic group was shorter(SMD=1.21,95%CI:0.47-1.96,P<0.05).There was no significant difference between the two groups in operation time,postoperative bile leakage,residual cavity infection and effusion,and postoperative recurrence rate(P>0.05).Conclusions Under the premise of strictly grasping the indication of laparoscopic surgery,the incidence of complications after laparoscopic surgery is low,the hospitalization time is short.