Cargando…

Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis

BACKGROUND AND OBJECTIVES: The aim of the study was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery. METHODS: I searched the randomized controlled trials (RCTs) about the efficacy and safety of laparoscopy combined wi...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Hu, Chen, Jie, Chen, Chen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597880/
https://www.ncbi.nlm.nih.gov/pubmed/32978349
http://dx.doi.org/10.4103/jmas.JMAS_269_19
_version_ 1783602462661279744
author Zhang, Hu
Chen, Jie
Chen, Chen
author_facet Zhang, Hu
Chen, Jie
Chen, Chen
author_sort Zhang, Hu
collection PubMed
description BACKGROUND AND OBJECTIVES: The aim of the study was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery. METHODS: I searched the randomized controlled trials (RCTs) about the efficacy and safety of laparoscopy combined with gastroscopy positioning surgery in treating gastric stromal tumours from the PubMed (1998~2018.06), Wanfang Data (1990~2018.06), China National Knowledge Infrastructure (1979~2018.06) and International Statistical Institute (1998~2018.06). I extracted the data from these trials, and I got the meta-analysis from RevMan 5.3 software. RESULTS: Twenty-six RCTs involving 1710 patients were included (870 patients in the laparoscopy combined with gastroscopy positioning group and 840 patients in openresection group). Compared with open resection group, this meta-analysis showed that laparoscopy combined with gastroscopy positioning group could reduce the intraoperative blood (P < 0.05), shorten the post-operative time of recovery of intestinal peristalsis (P < 0.05), shorten the diet recovery time (P < 0.05), reduce the incidence of the incision infection, intestinal obstruction and pneumonia and also shorten the post-operation hospital stay (P < 0.05). However, there was no significant difference in the operation time (P > 0.05). CONCLUSION: Compared with open resection group, the total effect of laparoscopy combined with gastroscopy positioning group in the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable.
format Online
Article
Text
id pubmed-7597880
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-75978802020-11-03 Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis Zhang, Hu Chen, Jie Chen, Chen J Minim Access Surg Systematic Review BACKGROUND AND OBJECTIVES: The aim of the study was to assess the efficacy and safety in treating gastric stromal tumours by laparoscopy combined with gastroscopy positioning surgery. METHODS: I searched the randomized controlled trials (RCTs) about the efficacy and safety of laparoscopy combined with gastroscopy positioning surgery in treating gastric stromal tumours from the PubMed (1998~2018.06), Wanfang Data (1990~2018.06), China National Knowledge Infrastructure (1979~2018.06) and International Statistical Institute (1998~2018.06). I extracted the data from these trials, and I got the meta-analysis from RevMan 5.3 software. RESULTS: Twenty-six RCTs involving 1710 patients were included (870 patients in the laparoscopy combined with gastroscopy positioning group and 840 patients in openresection group). Compared with open resection group, this meta-analysis showed that laparoscopy combined with gastroscopy positioning group could reduce the intraoperative blood (P < 0.05), shorten the post-operative time of recovery of intestinal peristalsis (P < 0.05), shorten the diet recovery time (P < 0.05), reduce the incidence of the incision infection, intestinal obstruction and pneumonia and also shorten the post-operation hospital stay (P < 0.05). However, there was no significant difference in the operation time (P > 0.05). CONCLUSION: Compared with open resection group, the total effect of laparoscopy combined with gastroscopy positioning group in the treatment of gastric stromal tumours is better. Laparoscopy combined with gastroscopy positioning group for the gastric stromal tumours is acceptable. Wolters Kluwer - Medknow 2020 2020-09-05 /pmc/articles/PMC7597880/ /pubmed/32978349 http://dx.doi.org/10.4103/jmas.JMAS_269_19 Text en Copyright: © 2020 Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Systematic Review
Zhang, Hu
Chen, Jie
Chen, Chen
Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title_full Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title_fullStr Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title_full_unstemmed Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title_short Comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: A meta-analysis
title_sort comparison of laparoscopy combined with gastroscopy positioning and open resection for gastric stromal tumours: a meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597880/
https://www.ncbi.nlm.nih.gov/pubmed/32978349
http://dx.doi.org/10.4103/jmas.JMAS_269_19
work_keys_str_mv AT zhanghu comparisonoflaparoscopycombinedwithgastroscopypositioningandopenresectionforgastricstromaltumoursametaanalysis
AT chenjie comparisonoflaparoscopycombinedwithgastroscopypositioningandopenresectionforgastricstromaltumoursametaanalysis
AT chenchen comparisonoflaparoscopycombinedwithgastroscopypositioningandopenresectionforgastricstromaltumoursametaanalysis