Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis
Background: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects.Methods: A systematic search strategy wa...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-08-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2021.711685/full |
| _version_ | 1818692173964509184 |
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| author | Tianjian Lu Tianjian Lu Ruoxi Zhang Kexin Jiang Zihuai Wang Zihuai Wang Xiaohu Hao Xiaohu Hao Nan Chen Nan Chen Lunxu Liu Lunxu Liu |
| author_facet | Tianjian Lu Tianjian Lu Ruoxi Zhang Kexin Jiang Zihuai Wang Zihuai Wang Xiaohu Hao Xiaohu Hao Nan Chen Nan Chen Lunxu Liu Lunxu Liu |
| author_sort | Tianjian Lu |
| collection | DOAJ |
| description | Background: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects.Methods: A systematic search strategy was performed using PubMed, and the retrieval time was up to April 1, 2020. Odds ratio (OR) and mean differences (MDs) with 95% CI were applied to determine the effectiveness of dichotomous or continuous variables, respectively.Results: Six studies including 385 patients were included. The electrocautery had a higher incidence rate of postoperative complication [OR= 1.92, 95% CI (1.12, 3.28), P = 0.02)] and air leak [OR: 3.91, 95% CI (1.64, 9.35), P = 0.002)]. No significant difference was found in the comparison of surgery time, blood loss, and duration of tube days or hospitality days.Conclusions: Our study indicated that patients under segmentectomy were associated with better safety by using stapler than electrocautery in the reduction of postoperative complications. |
| first_indexed | 2024-12-17T12:53:35Z |
| format | Article |
| id | doaj.art-991b905c8e63423e96ca6be19227f328 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-17T12:53:35Z |
| publishDate | 2021-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-991b905c8e63423e96ca6be19227f3282022-12-21T21:47:33ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2021-08-01810.3389/fsurg.2021.711685711685Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-AnalysisTianjian Lu0Tianjian Lu1Ruoxi Zhang2Kexin Jiang3Zihuai Wang4Zihuai Wang5Xiaohu Hao6Xiaohu Hao7Nan Chen8Nan Chen9Lunxu Liu10Lunxu Liu11Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWestern China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, ChinaBackground: Electrocautery and staplers are regarded as the two most common surgical instruments for dissecting the intersegmental plane in segmentectomy. We performed a meta-analysis to compare electrocautery and staplers in terms of their safety and effects.Methods: A systematic search strategy was performed using PubMed, and the retrieval time was up to April 1, 2020. Odds ratio (OR) and mean differences (MDs) with 95% CI were applied to determine the effectiveness of dichotomous or continuous variables, respectively.Results: Six studies including 385 patients were included. The electrocautery had a higher incidence rate of postoperative complication [OR= 1.92, 95% CI (1.12, 3.28), P = 0.02)] and air leak [OR: 3.91, 95% CI (1.64, 9.35), P = 0.002)]. No significant difference was found in the comparison of surgery time, blood loss, and duration of tube days or hospitality days.Conclusions: Our study indicated that patients under segmentectomy were associated with better safety by using stapler than electrocautery in the reduction of postoperative complications.https://www.frontiersin.org/articles/10.3389/fsurg.2021.711685/fulllung cancersegmentectomypostoperative complicationelectrocauterylung |
| spellingShingle | Tianjian Lu Tianjian Lu Ruoxi Zhang Kexin Jiang Zihuai Wang Zihuai Wang Xiaohu Hao Xiaohu Hao Nan Chen Nan Chen Lunxu Liu Lunxu Liu Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis Frontiers in Surgery lung cancer segmentectomy postoperative complication electrocautery lung |
| title | Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis |
| title_full | Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis |
| title_fullStr | Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis |
| title_full_unstemmed | Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis |
| title_short | Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis |
| title_sort | electrocautery vs stapler in comparing safety for segmentectomy of lung cancer a meta analysis |
| topic | lung cancer segmentectomy postoperative complication electrocautery lung |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2021.711685/full |
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