التفاصيل البيبلوغرافية
العنوان: |
Laparoscopy is non‐inferior to open surgery for rectal cancer: A systematic review and meta‐analysis |
المؤلفون: |
Ling Ma, Hai‐jiao Yu, Yu‐bing Zhu, Wen‐xia Li, Kai‐yu Xu, Ai‐min Zhao, Lei Ding, Hong Gao |
المصدر: |
Cancer Medicine, Vol 13, Iss 13, Pp n/a-n/a (2024) |
بيانات النشر: |
Wiley, 2024. |
سنة النشر: |
2024 |
المجموعة: |
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: |
laparoscopic surgery, meta‐analysis, non‐inferiority, open surgery, rectal cancer, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: |
Abstract Background Laparoscopic surgery has been endorsed by clinical guidelines for colon cancer, but not for rectal cancer on account of unapproved oncologic equivalence with open surgery. Aims We started this largest‐to‐date meta‐analysis to comprehensively evaluate the safety and efficacy of laparoscopy in the treatment of rectal cancer compared with open surgery. Materials & Methods Both randomized and nonrandomized controlled trials comparing laparoscopic proctectomy and open surgery between January 1990 and March 2020 were searched in PubMed, Cochrane Library and Embase Databases (PROSPERO registration number CRD42020211718). The data of intraoperative, pathological, postoperative and survival outcomes were compared between two groups. Results Twenty RCTs and 93 NRCTs including 216,615 patients fulfilled the inclusion criteria, with 48,888 patients received laparoscopic surgery and 167,727 patients underwent open surgery. Compared with open surgery, laparoscopic surgery group showed faster recovery, less complications and decreased mortality within 30 days. The positive rate of circumferential margin (RR = 0.79, 95% CI: 0.72 to 0.85, p |
نوع الوثيقة: |
article |
وصف الملف: |
electronic resource |
اللغة: |
English |
تدمد: |
2045-7634 |
Relation: |
https://doaj.org/toc/2045-7634 |
DOI: |
10.1002/cam4.7363 |
URL الوصول: |
https://doaj.org/article/5d91de6ba33d423688d4c974f5f0f25d |
رقم الانضمام: |
edsdoj.5d91de6ba33d423688d4c974f5f0f25d |
قاعدة البيانات: |
Directory of Open Access Journals |