E-ISSN 2577-5669
 

Original Research 


Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis

Zhen Wu, Lili Yi, Yongkun Wang, Changxin Zhou, Shanping Sun, Yuming Yao, Qiang Lv, Jugao Fang*.

Abstract
Objective: Hyperparathyroidism can cause multiple organs damage, which is characterized by diversity and systemic. At present, there are mainly drug treatment and surgical treatment, among which surgical treatment has the highest cure rate. Surgical treatment mainly includes endoscopic and open surgery in clinical. This article systematically reviewed previously published trials on the two surgical methods, and provided an updated meta-analysis of the perioperative outcomes of different surgical methods on hyperparathyroidism.
Methods: We searched 7 online databases home and abroad retrieval time till 3 February, 2021. We studied the influence of endoscopic and open surgery on the perioperative outcome of hyperparathyroidism. Data were processed with RevMan 5.3 and Stata 12.0. The methodological quality assessment of non-randomized clinical trials used risk of bias in non-randomised studies of interventions. The cochrane collaboration's tool for assessing bias risk was used to assess the quality of the included randomized controlled studies. The operation time, intraoperative blood loss, postoperative drainage volume and hospital stay were examined. Two authors exchanged and checked the extraction tables, and resolved any inconsistencies by discussing.
Results: A total of 4 studies were included, including 124 patients and 246 controls. The combined results of random-effect model: WMD (95% CI)=-12.96 minutes (-43.47, 17.54) , P=0.40. Similarly, intraoperative blood loss, postoperative drainage volume and hospital stay also showed significant heterogeneity (I2>50%), but the combined results were statistically significant. Meta-analysis results of the three indicators (WMD (95%CI)) were as follows: -10.59 (-15.64, -5.54) mL, P<0.001; -11.69 (-19.65, -3.73) mL, P=0.004; -1.02 (-1.88, -0.16) days, P=0.02. In addition to the operation time, intraoperative blood loss, postoperative drainage volume and hospital stay of the intervention group were significantly lower than the control group.
Conclusions: This paper concluded that endoscopic surgery showed certain advantages over open surgery in the treatment of hyperparathyroidism by performed the meta-analysis of clinical studies on the treatment of hyperparathyroidism, which the finding could provide theoretical guidance for clinical practice.

Key words: endoscopic, open operation, hyperparathyroidism, perioperative outcomes, meta-analysis


 
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How to Cite this Article
Pubmed Style

Wu Z, Yi L, Wang Y, Zhou C, Sun S, Yao Y, Lv Q, Fang J. Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. J Complement Med Res. 2023; 14(1): 31-36. doi:10.5455/jcmr.2023.14.01.06


Web Style

Wu Z, Yi L, Wang Y, Zhou C, Sun S, Yao Y, Lv Q, Fang J. Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. https://www.jocmr.com/?mno=99060 [Access: May 26, 2023]. doi:10.5455/jcmr.2023.14.01.06


AMA (American Medical Association) Style

Wu Z, Yi L, Wang Y, Zhou C, Sun S, Yao Y, Lv Q, Fang J. Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. J Complement Med Res. 2023; 14(1): 31-36. doi:10.5455/jcmr.2023.14.01.06



Vancouver/ICMJE Style

Wu Z, Yi L, Wang Y, Zhou C, Sun S, Yao Y, Lv Q, Fang J. Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. J Complement Med Res. (2023), [cited May 26, 2023]; 14(1): 31-36. doi:10.5455/jcmr.2023.14.01.06



Harvard Style

Wu, Z., Yi, . L., Wang, . Y., Zhou, . C., Sun, . S., Yao, . Y., Lv, . Q. & Fang, . J. (2023) Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. J Complement Med Res, 14 (1), 31-36. doi:10.5455/jcmr.2023.14.01.06



Turabian Style

Wu, Zhen, Lili Yi, Yongkun Wang, Changxin Zhou, Shanping Sun, Yuming Yao, Qiang Lv, and Jugao Fang. 2023. Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. Journal of Complementary Medicine Research, 14 (1), 31-36. doi:10.5455/jcmr.2023.14.01.06



Chicago Style

Wu, Zhen, Lili Yi, Yongkun Wang, Changxin Zhou, Shanping Sun, Yuming Yao, Qiang Lv, and Jugao Fang. "Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis." Journal of Complementary Medicine Research 14 (2023), 31-36. doi:10.5455/jcmr.2023.14.01.06



MLA (The Modern Language Association) Style

Wu, Zhen, Lili Yi, Yongkun Wang, Changxin Zhou, Shanping Sun, Yuming Yao, Qiang Lv, and Jugao Fang. "Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis." Journal of Complementary Medicine Research 14.1 (2023), 31-36. Print. doi:10.5455/jcmr.2023.14.01.06



APA (American Psychological Association) Style

Wu, Z., Yi, . L., Wang, . Y., Zhou, . C., Sun, . S., Yao, . Y., Lv, . Q. & Fang, . J. (2023) Perioperative Outcomes of Endoscopic versus Open Operation in the Treatment of Hyperparathyroidism: A Systematic Review and Meta-analysis. Journal of Complementary Medicine Research, 14 (1), 31-36. doi:10.5455/jcmr.2023.14.01.06