Colorectal resection via natural orifice specimen extraction versus conventional laparoscopic extraction: a meta-analysis with meta-regression

Autor: F J Foo, C H Tai, Cheng Han Ng, F Lim, Glenn M Decruz, Choon Seng Chong, Y H Chin, H Q M Tan
Rok vydání: 2020
Předmět:
Zdroj: Techniques in Coloproctology. 25:35-48
ISSN: 1128-045X
1123-6337
Popis: Studies have shown differences in postoperative outcomes between two minimally invasive extraction methods for colorectal lesions—natural orifice specimen extraction surgery (NOSES) and conventional laparoscopic surgery (CLS). The aim of this study was to discover the major differences in NOSES and CLS to refine current practice. Electronic databases were searched for articles comparing NOSES and CLS from inception till March 2020. Weighted mean differences (WMD) and odds ratio (OR) were estimated for continuous and dichotomous outcomes, respectively. Summary statistics were calculated using the DerSimonian and Laird random effects. Twenty-one studies (15 on malignant disease, 4 on benign disease, 2 on both) were included in this meta-analysis, totalling 2378 patients (1079 NOSE, 1299 CLS). NOSE was associated with decreased: intraoperative bleeding (WMD: − 10.652 ml; 95% CI: − 18.818 ml to − 2.482 ml; p
Databáze: OpenAIRE
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