Evaluation of the efficacy of laparoscopic-assisted radical vaginal hysterectomy and abdominal radical hysterectomy for treating cervical cancer: a meta-analysis

Autor: Lei Zhang, Jia Liu, Zonghao Feng, Qin-ping Liao, Tao Lv, Zeng Zhen
Rok vydání: 2022
Předmět:
Zdroj: Videosurgery and Other Miniinvasive Techniques. 17:69-82
ISSN: 1895-4588
DOI: 10.5114/wiitm.2021.106126
Popis: Laparoscopic-assisted radical vaginal hysterectomy (LARVH) and abdominal radical hysterectomy (ARH) are commonly used for cervical cancer treatment. However, the clinical application of LARVH versus ARH in treating cervical cancer remains controversial.To investigate the efficacy of LARVH versus ARH in treating cervical cancer via comparing several inductors by pooling related studies.Eligible articles from PubMed, Embase, and the Cochrane library were screened using established search terms. Consecutive variables were pooled using weighted mean difference (WMD) and 95% confidence interval (CI). Categorical variables were pooled using odds ratio (OR) and 95% CI.A total of 13 articles were included in this meta-analysis, comprising 579 patients who underwent LARVH and 810 who underwent ARH. LARVH required a longer operation time (WMD = 50.97, 95% CI: 38.34, 63.59, p0.001) than ARH. However, compared to patients who underwent ARH, those who underwent LARVH had less bleeding volume (WMD =Owing to these reasons, LARVH has more application prospects than ARH in treating cervical cancer.
Databáze: OpenAIRE