机器人辅助与腔镜甲状腺切除术治疗分化型甲状腺癌的结局及安全性比较的Meta分析

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AbstractObjective：Tosystematicallyevaluatetheclincalefcacyandsafetyofrobot-asistedthyrodectomy（RTversusdocopic thyroidectomyEnatfraeddoaD）.ds：bed，bsoea WanfangData，andVIPdatabasesweresearchedforandomizedcontroledtrialsoretrospectivecasecontrolsdiesomparingRand ETforDTC publishdbefore December222.Referencesweresupplementedforadditionalsrenng.Aftersreengbasedopredefied inclusion/exclusioncriteria，qualityassessmentanddataextractionwereperfored.ForestplotsforMeta-analysisweregeneratedusing RevMan5.4softarebasedofixedorradom-efectsmodels.Results：Nineretrospectivestudiesinvolving5423patientswereincuded. Nosignificantereseedndousineliaestisgec.）aly significantdifreeserefoudinostopativeomplicais，cludingtrasitpemaenthoalia，cuntlagale injury，subcutanousatoaefsio，ouakage，trachalijuryndbachalplesiury（PO5）.diicatly longer total operative time than ET（ （P<0.05） ，but no difference in surgical procedure time （P>0.05 ）.RToutperformed ETinlymph node retrieval （ P <0.05） and postoperative drainage volume （P<0.05） . No significant differences were found in postoperative length of hospital stay or tumor recurrence rate （P>0.05） . Conclusion： Both RT and ET are safe and effctive surgical approaches for treating DTC， with RT outperformingETinphodedssetionutETashhersugicalfiecytan.Idivualtientcodiios，seeage and medical resources should be considered in clinical decision-making.

KeyWordsRobot-assistedThyroidectomy;EndoscopicThyrodectomy;DiferentiatedThyroidCarcinoma;Meta-analysis

甲状腺癌作为内分泌系统高发的恶性肿瘤之二，其病理分型以分化型甲状腺癌（differentiatedthyroidcancer，DTC）最为常见，约占所有甲状腺癌病例的 95% 以上[2]。（剩余13044字）