지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.4
- 발행연도
- 2015.9
- 수록면
- 190 - 201 (12page)
이용수
초록· 키워드
오류제보하기
Purpose: Robotic surgery (RS) overcomes the limitations of previous conventional laparoscopic surgery (CLS). Although meta-analyses have been published recently, our study evaluated the latest comparative surgical, urologic, and sexual results for rectal cancer and compares RS with CLS in patients with rectal cancer only.
Methods: We searched three foreign databases (Ovid-MEDLINE, Ovid-Embase, and Cochrane Library) and five Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi) during July 2013. The Cochrane Risk of Bias and the Methodological Index for Non-Randomized were utilized to evaluate quality of study. Dichotomous variables were pooled using the risk ratio (RR), and continuous variables were pooled using the mean difference (MD). All meta-analyses were conducted with Review Manager, V. 5.3.
Results: Seventeen studies involving 2,224 patients were included. RS was associated with a lower rate of intraoperative conversion than that of CLS (RR, 0.28; 95% confidence interval [CI], 0.15?0.54). Time to first flatus was short (MD, ?0.13; 95% CI, ?0.25 to ?0.01). Operating time was longer for RS than that for CLS (MD, 49.97; 95% CI, 20.43?79.52, I<SUP>2</SUP> = 97%). International Prostate Symptom Score scores at 3 months better RS than CLS (MD, ?2.90; 95% CI, ?5.31 to ?0.48, I<SUP>2</SUP> = 0%). International Index of Erectile Function scores showed better improvement at 3 months (MD, ?2.82; 95% CI, ?4.78 to ?0.87, I<SUP>2</SUP> = 37%) and 6 months (MD, ?2.15; 95% CI, ?4.08 to ?0.22, I<SUP>2</SUP> = 0%).
Conclusion: RS appears to be an effective alternative to CLS with a lower conversion rate to open surgery, a shorter time to first flatus and better recovery in voiding and sexual function. RS could enhance postoperative recovery in patients with rectal cancer.
Methods: We searched three foreign databases (Ovid-MEDLINE, Ovid-Embase, and Cochrane Library) and five Korean databases (KoreaMed, KMbase, KISS, RISS, and KisTi) during July 2013. The Cochrane Risk of Bias and the Methodological Index for Non-Randomized were utilized to evaluate quality of study. Dichotomous variables were pooled using the risk ratio (RR), and continuous variables were pooled using the mean difference (MD). All meta-analyses were conducted with Review Manager, V. 5.3.
Results: Seventeen studies involving 2,224 patients were included. RS was associated with a lower rate of intraoperative conversion than that of CLS (RR, 0.28; 95% confidence interval [CI], 0.15?0.54). Time to first flatus was short (MD, ?0.13; 95% CI, ?0.25 to ?0.01). Operating time was longer for RS than that for CLS (MD, 49.97; 95% CI, 20.43?79.52, I<SUP>2</SUP> = 97%). International Prostate Symptom Score scores at 3 months better RS than CLS (MD, ?2.90; 95% CI, ?5.31 to ?0.48, I<SUP>2</SUP> = 0%). International Index of Erectile Function scores showed better improvement at 3 months (MD, ?2.82; 95% CI, ?4.78 to ?0.87, I<SUP>2</SUP> = 37%) and 6 months (MD, ?2.15; 95% CI, ?4.08 to ?0.22, I<SUP>2</SUP> = 0%).
Conclusion: RS appears to be an effective alternative to CLS with a lower conversion rate to open surgery, a shorter time to first flatus and better recovery in voiding and sexual function. RS could enhance postoperative recovery in patients with rectal cancer.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (2)
참고문헌 신청
Seon Heui Lee, Sungwon Lim, Jin Hee Kim, Kil Yeon Lee. Robotic versus conventional laparoscopic surgery for rectal cancer. Annals of Surgical Treatment and Research. 2015
Sung Uk Bae, Avanish P. Saklani, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim. Robotic and laparoscopic pelvic lymph node dissection for rectal cancer. Annals of Surgical Treatment and Research. 2014
Sung Uk Bae, Avanish P. Saklani, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim. Robotic and laparoscopic pelvic lymph node dissection for rectal cancer. Annals of Surgical Treatment and Research. 2014
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UCI(KEPA) : I410-ECN-0101-2016-514-002004128