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Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis

Background: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects. Methods: A systematic search strategy w...

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Autores principales: Lu, Tianjian, Zhang, Ruoxi, Jiang, Kexin, Wang, Zihuai, Hao, Xiaohu, Chen, Nan, Liu, Lunxu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371473/
https://www.ncbi.nlm.nih.gov/pubmed/34422895
http://dx.doi.org/10.3389/fsurg.2021.711685
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author Lu, Tianjian
Zhang, Ruoxi
Jiang, Kexin
Wang, Zihuai
Hao, Xiaohu
Chen, Nan
Liu, Lunxu
author_facet Lu, Tianjian
Zhang, Ruoxi
Jiang, Kexin
Wang, Zihuai
Hao, Xiaohu
Chen, Nan
Liu, Lunxu
author_sort Lu, Tianjian
collection PubMed
description Background: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects. Methods: A systematic search strategy was performed using PubMed, and the retrieval time was up to April 1, 2020. Odds ratio (OR) and mean differences (MDs) with 95% CI were applied to determine the effectiveness of dichotomous or continuous variables, respectively. Results: Six studies including 385 patients were included. The electrocautery had a higher incidence rate of postoperative complication [OR= 1.92, 95% CI (1.12, 3.28), P = 0.02)] and air leak [OR: 3.91, 95% CI (1.64, 9.35), P = 0.002)]. No significant difference was found in the comparison of surgery time, blood loss, and duration of tube days or hospitality days. Conclusions: Our study indicated that patients under segmentectomy were associated with better safety by using stapler than electrocautery in the reduction of postoperative complications.
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spelling pubmed-83714732021-08-19 Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis Lu, Tianjian Zhang, Ruoxi Jiang, Kexin Wang, Zihuai Hao, Xiaohu Chen, Nan Liu, Lunxu Front Surg Surgery Background: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects. Methods: A systematic search strategy was performed using PubMed, and the retrieval time was up to April 1, 2020. Odds ratio (OR) and mean differences (MDs) with 95% CI were applied to determine the effectiveness of dichotomous or continuous variables, respectively. Results: Six studies including 385 patients were included. The electrocautery had a higher incidence rate of postoperative complication [OR= 1.92, 95% CI (1.12, 3.28), P = 0.02)] and air leak [OR: 3.91, 95% CI (1.64, 9.35), P = 0.002)]. No significant difference was found in the comparison of surgery time, blood loss, and duration of tube days or hospitality days. Conclusions: Our study indicated that patients under segmentectomy were associated with better safety by using stapler than electrocautery in the reduction of postoperative complications. Frontiers Media S.A. 2021-08-04 /pmc/articles/PMC8371473/ /pubmed/34422895 http://dx.doi.org/10.3389/fsurg.2021.711685 Text en Copyright © 2021 Lu, Zhang, Jiang, Wang, Hao, Chen and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Lu, Tianjian
Zhang, Ruoxi
Jiang, Kexin
Wang, Zihuai
Hao, Xiaohu
Chen, Nan
Liu, Lunxu
Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title_full Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title_fullStr Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title_full_unstemmed Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title_short Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
title_sort electrocautery vs. stapler in comparing safety for segmentectomy of lung cancer: a meta-analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371473/
https://www.ncbi.nlm.nih.gov/pubmed/34422895
http://dx.doi.org/10.3389/fsurg.2021.711685
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