Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

被引：83
作者：
Housmans, Susanne [1 ,2 ]
Noori, Nargis [3 ,4 ]
Kapurubandara, Supuni [3 ,4 ,5 ]
Bosteels, Jan J. A. [1 ,6 ]
Cattani, Laura [1 ,2 ]
Alkatout, Ibrahim [7 ]
Deprest, Jan [1 ,2 ]
Baekelandt, Jan [1 ,6 ]
机构：
[1] Katholieke Univ Leuven, Grp Biomed Sci, Fac Med, Dept Dev & Regenerat, B-3000 Leuven, Belgium
[2] Univ Hosp Leuven, Dept Obstet & Gynaecol, B-3000 Leuven, Belgium
[3] Westmead Hosp, Dept Obstet & Gynaecol, Westmead, NSW 2145, Australia
[4] Sydney West Adv Pelv Surg SWAPS, Bella Vista, NSW 2153, Australia
[5] Univ Sydney USYD, Dept Obstet & Gynaecol, Sydney, NSW 2052, Australia
[6] Imelda Hosp, Dept Obstet & Gynaecol, B-2820 Bonheiden, Belgium
[7] Univ Hosp Schleswig Holstein, Kiel Sch Gynaecol Endoscopy, Dept Gynaecologiy & Obstet, Campus Kiel, D-24105 Kiel, Germany
来源：
JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 12期
关键词：
hysterectomy; NOTES; laparoscopy; minimally invasive; systematic review; meta-analysis; SURGICAL COMPLICATIONS; CLASSIFICATION; OUTCOMES; WOMEN;
D O I：
10.3390/jcm9123959
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
(1) Objective: We aimed to report an update of the systematic review and meta-analysis by Baekelandt et al. (2016). (2) Method: We followed PRISMA guidelines to perform this systematic review. We searched MEDLINE, EMBASE, CENTRAL and additional sources and aimed to retrieve randomised controlled trials (RCTs), controlled clinical trials (CCTs) and prospective/retrospective cohort studies in human subjects that allowed direct comparison of vNOTES to laparoscopy. (3) Results: Our search yielded one RCT and five retrospective cohort trials. Pooled analysis of two subgroups showed that, compared to conventional laparoscopy, vNOTES is equally effective to successfully remove the uterus in individuals meeting the inclusion criteria. vNOTES had significantly lower values for operation time, length of stay and estimated blood loss. There was no significant difference in intra- and postoperative complications, readmission, pain scores at 24 h postoperative and change in hemoglobin (Hb) on day 1 postoperative.
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页数：16
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