背景:在人体测量结果和术后并发症方面,已将腹腔镜带状袖状胃切除术(LBSG)与腹腔镜袖状胃切除术(LSG)进行了比较,这些都是有争议的。本系统评价和荟萃分析旨在比较LBSG和LSG的安全性和有效性。
方法:我们根据2020年系统评价和荟萃分析的首选报告项目进行了系统评价和荟萃分析,并评估了系统评价2指南的方法学质量。我们纳入了系统搜索电子数据库的研究,并将LBSG与LSG进行了比较,直到2021年8月10日。
结果:文献检索产生了8项比较研究。纳入了743例患者:LBSG组352例,LSG组391例。LBSG组允许更大的人体测量参数(1年后体重指数[BMI](平均差[MD]=-3.18;95%CI[-5.45,-0.92],P=.006),1年后的EWL%(MD=8.02;95%CI[1.22,14.81],P=.02),和3年后的EWL%(MD=10.60;95%CI[5.60,15.69],P<.001),在手术时间方面与LSG组的结果相似(MD=1.23;95%CI[-4.71,7.17],P=.69),食物不耐受(OR=1.72;95%CI[0.84,3.49],P=.14),术后呕吐(OR=2.10;95%CI[0.69,6.35],P=.19),和从头GERD(OR=0.65;95%CI[0.34,1.26],P=.2)。然而,两组术后主要并发症无差异.
结论:这项比较LBSG和LSG的系统评价和荟萃分析得出的结论是,在随访1年后,束袖胃切除术(SG)可以确保较低的BMI和%EWL,随访3年后,EWL百分比显着降低。没有证据支持LBSG呕吐,从头GERD,食物不耐受,或手术时间。
BACKGROUND: Laparoscopic banded sleeve gastrectomy (LBSG) has been compared to laparoscopic sleeve gastrectomy (LSG) in terms of anthropometric results and postoperative complications, which are controversial. This systematic review and meta-analysis aimed to compare the safety and efficacy of LBSG and LSG.
METHODS: We performed a systematic review with meta-analysis according to preferred reporting items for systematic review and meta-analysis 2020 and assessing the methodological quality of systematic review 2 guidelines. We included studies that systematically searched electronic databases and compared LBSG with LSG conducted until August 10, 2021.
RESULTS: The literature search yielded 8 comparative studies. Seven hundred forty-three patients were included: 352 in the LBSG group and 391 in the LSG group. LBSG group allowed greater anthropometric parameters (body mass index [BMI] after 1 year (mean difference [MD] = -3.18; 95% CI [-5.45, -0.92], P = .006), %EWL after 1 year (MD = 8.02; 95% CI [1.22, 14.81], P = .02), and %EWL after 3 years (MD = 10.60; 95% CI [5.60, 15.69], P < .001) and similar results with LSG group in terms of operative time (MD = 1.23; 95% CI [-4.71, 7.17], P = .69), food intolerance (OR = 1.72; 95% CI [0.84, 3.49], P = .14), postoperative vomiting (OR = 2.10; 95% CI [0.69, 6.35], P = .19), and De novo GERD (OR = 0.65; 95% CI [0.34, 1.26], P = .2). Nevertheless, major postoperative complications did not differ between the 2 groups.
CONCLUSIONS: This systematic review and meta-analysis comparing LBSG and LSG concluded that banding sleeve gastrectomy (SG) may ensure a lower BMI and %EWL after 1 year of follow-up, and a significant reduction in %EWL after 3 years of follow-up. There is no evidence to support LBSG in vomiting, de novo GERD, food intolerance, or operative time.