国内应用达芬奇手术系统与传统开胸心脏手术临床效果的Meta分析

Systematic review of clinical effects of Da Vinci versus median sternotomy for cardiac surgery in China

目的系统性评价国内的机器人手术系统(达芬奇)与传统开胸心脏手术的临床效果。方法计算机检索中国期刊全文数据库、维普数据库、万方数据库。筛选2000~2020年间关于机器人手术与传统正中开胸心脏手术临床对比研究,提取其相关时间、胸腔引流量、并发症等数据。结果共纳入8个研究,1 103例患者,其中机器人组538例,传统开胸组565例。机器人组的ICU停留时间、术后住院时间、呼吸机辅助时间、胸腔引流量及并发症指标优于传统开胸组。结论心脏外科达芬奇机器人手术系统较传统开胸手术方式临床效果更佳,但仍需更多的国内外研究进一步论证。

Objective To systematically evaluate the clinical effects of domestic robotic surgery system(Da Vinci) and traditional median sternotomy. Methods We searched Chinese journal full text database, VIP database and Wanfang database from 2000 to 2020. The related time, thoracic drainage volume and complications were extracted. Results Finally 8 studies were included, involving 1103 patients, including 538 in robot group and 565 in median sternotomy group. The duration of ICU stay and postoperative hospital stay, mechanical ventilation time, thoracic drainage and surgical complications were better in Da Vinci group than those in median sternotomy group. Conclusion The clinical effect of Da Vinci robotic surgery system in cardiac surgery is better than that of traditional thoracotomy, further domestic and foreign studies are still needed.