کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6191614 1601376 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Ultrasonic dissection versus conventional electrocautery during gastrectomy for gastric cancer: A meta-analysis of randomized controlled trials
ترجمه فارسی عنوان
جداسازی التراسونیک در مقابل الکتروکوتر معمولی در طی گاسترکتومی برای سرطان معده: یک متاآنالیز آزمایشهای کنترل شده تصادفی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

ObjectiveUse of ultrasonic surgical instrument is gaining popularity for dissection and coagulation in open surgery. However, there is still no consensus on the efficacy and safety of its use compared with conventional surgical technique in open gastrectomy for gastric cancer. The aim of this meta-analysis was to evaluate the role and surgical outcomes of ultrasonic dissection (UD) compared with conventional electrocautery (EC).MethodsA systematic literature search was performed to identify all studies comparing UD and EC in gastric cancer surgery. Intraoperative and postoperative outcomes were compared using weighted mean differences (WMDs) and odds ratios (ORs).ResultsFive studies were included in this meta-analysis, comprising 489 patients. Meta-analysis results showed that compared with EC, UD was associated with significantly shorter operation time (P = 0.03), less intraoperative blood loss (P = 0.002), lower morbidity (P = 0.02), and reduced postoperative hospital stay (P = 0.03). However, there was no significant difference between the two surgical techniques with regards to postoperative abdominal drainage (P = 0.17), and total cost in hospital (P = 0.59).ConclusionsCompared to EC, the use of UD during open gastrectomy can provide several improved outcomes for operation time, intraoperative blood loss, overall morbidity, and postoperative hospital stay. It appears that UD can be used instead of conventional EC in open gastric cancer surgery, although more larger trials with long follow-up should be performed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Surgical Oncology (EJSO) - Volume 41, Issue 4, April 2015, Pages 527-533
نویسندگان
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