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

doi:10.19739/j.cnki.issn1001-9510.2020.02.006

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Abstract 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 .

Key words： robotic gastrectomy laparoscopic gastrectomy gastric cancer meta-analysis

Received: 28 June 2019

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R735.2

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	Articles by authors
	WANG Jianping
	LI Yuming
	ZHANG Mingkai
	LI Yanbin
	PENG Zhihao
	LIU Shuaichen

Cite this article:

WANG Jianping,LI Yuming,ZHANG Mingkai, et al. Meta-analysis of short-term efficacy of robotic and laparoscopic gastrectomy for gastric cancer[J]. 滨州医学院学报, 2020, 43(2): 105-110.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/10.19739/j.cnki.issn1001-9510.2020.02.006 OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2020/V43/I2/105

[1] BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424.
[2] WEI Y, YU D, LI Y, et al. Laparoscopic versus open gastrectomy for advanced gastric cancer: A meta-analysis based on high-quality retrospective studies and clinical randomized trials[J]. Clin Res Hepatol Gastroenterol, 2018, 42(6): 577-590.
[3] WANG X, LI Z, CHEN M, et al. Minimally invasive and open gastrectomy for gastric cancer: A protocol for systematic review and network meta-analysis [J]. Medicine (Baltimore), 2018, 97(48): e13419.
[4] HASHIZUME M, SHIMADA M, TOMIKAWA M, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system [J]. Surg Endosc, 2002, 16(8): 1187-1191.
[5] HYUN M H, LEE C H, KWON Y J, et al. Robot versus laparoscopic gastrectomy for cancer by an experienced surgeon: comparisons of surgery, complications, and surgical stress [J]. Ann Surg Oncol, 2013, 20(4): 1258-1265.
[6] LI G T, CHEN P, YAN L, et al. Curative effect of Da Vinci robot assisted radical gastrectomy for gastric cancer[J]. World Chinese Journal of Digestology, 2018, 26(24): 1455-1462.
[7] PAN H F, WANG G, LIU J, et al. Robotic Versus Laparoscopic Gastrectomy for Locally Advanced Gastric Cancer[J]. Surgical laparoscopy, endoscopy & percutaneous techniques, 2017, 27(6): 428-433.
[8] SHEN W, XI H, ZHANG K, et al. Robotic versus laparoscopic gastrectomy for gastric cancer: comparison of short-term surgical outcomes [J]. Surgical endoscopy and other interventional techniques, 2015, 29: S331.
[9] 刘驰, 唐波, 郝迎学,等. 达芬奇机器人与腹腔镜胃癌手术近期疗效的对照研究[J]. 第三军医大学学报, 2013, 35(11): 1164-1166.
[10] 张小磊,江志伟, 赵坤.手术机器人系统与腹腔镜辅助胃癌切除术的临床疗效对比[J].中华胃肠外科杂志,2012,15(8):804-806.
[11] 张珂诚,卫勃,郗洪庆,等.基于倾向性评分匹配的机器人和腹腔镜胃癌根治术的近期与远期疗效比较[J].中华外科杂志,2018, 56(1):47-51.
[12] 彭鸿.机器人与腹腔镜远端胃癌根治术近期疗效对比分析[D].南昌:南昌大学,2018.
[13] 滕达,李松岩,胡时栋,等.达芬奇机器人与腹腔镜远端胃癌根治术的近期疗效比较[J].解放军医学院学报,2017,38(12):1095-1097.
[14] 申旭旗,赵永亮,苏崇宇,等.达芬奇机器人手术系统辅助与腹腔镜辅助局部进展期胃癌根治术近期疗效分析[J].中华消化外科杂志,2018,17(6):581-587.
[15] 胡时栋,胡子龙,邹贵军,等.达芬奇机器人与腹腔镜辅助胃癌根治术近期疗效的对比研究[J].中国临床研究,2017,30(6):721-724.
[16] 薛勇敢.达芬奇机器人远端胃癌根治术临床疗效评价[D].北京:解放军医学院,2015.
[17] 赵坤,潘华峰,王刚,等.达芬奇手术机器人与腹腔镜行远端胃癌根治术近期疗效对照研究[J].中国实用外科杂志,2013,33(4):325-327.
[18] 陈志新.机器人与腹腔镜全胃切除术临床疗效对照研究[D].南昌:南昌大学,2018.