摘要
目的:比较中、下段直肠癌低位前切除术后肠道J型小贮袋(≤8cm)吻合与直接吻合术中及术后早期结果。方法:通过电子检索PubMed、Medline、Ovid、Cochrane数据库,查找1995年1月—2009年12月符合入选标准的随机对照临床试验,选取手术重建成功率、手术时间、术后平均住院天数、手术死亡率、吻合口漏、伤口感染、肺部感染等指标作为研究内容,采用RevMan5.0.23软件进行Meta分析。结果:共纳入文献9篇(580例)。结肠小贮袋或直接吻合两种方式在手术重建成功率、手术死亡率、吻合口漏、伤口感染、肺部感染等方面差异无统计学意义(P>0.05);手术时间及术后平均住院天数因资料不足未进行分析。结论:直肠癌低位前切除术后采用结肠小贮袋或直接吻合重建肠道,术中、术后早期结果相似,两种方法都是安全、有效的。
Objective：To compare early results while performing relative small J-pouch（≤8 cm） reconstruction and straight colorectal/coloanal reconstruction after low anterior resection for mid and low rectal cancer.Methods：According to the inclusion criteria,a search of randomized controlled trials in PubMed,Medline,Ovid and Cochrane database（from Jan 1995 to Dec 2009）was performed.Outcomes of interest included recons truction failure,operating time,postoperative mortality,hospital stay,anastomotic leakage,wound infection and pneumonic infection after the primary procedure.Statistical analysis software RevMan 5.0.23 was used to carry Meta-analysis.Results：Nine studies of RCT containing 580 patients were included.There was no significant difference of reconstruction failure,postoperative mortality,anastomotic leakage,wound infection or pneumonic infection between two groups（P〉0.05）.The comparison of operating time and hospital stay was not performed due to insufficient data.Conclusion：Relative small J-pouch and straight anastomos is provided similar early results after low anterior resection.Both of these methods were proved to be safe and effective.
出处
《中国现代普通外科进展》
CAS
2010年第4期266-269,279,共5页
Chinese Journal of Current Advances in General Surgery
