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ORIGINAL RESEARCH article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1400970

Effect of Laparoscopic and Abdominal Surgery in Treatment of Ectopic Pregnancy: A Systematic-Review and Meta-Analysis

Provisionally accepted
Lin Zhai Lin Zhai 1*Yinping Chen Yinping Chen 2Shengzhi Zhang Shengzhi Zhang 2
  • 1 Ningbo Medical Centre Lihuili Hospital, Ningbo, China
  • 2 Yuyao People's Hospital, Yuyao, Zhejiang, China

The final, formatted version of the article will be published soon.

    Objective: To compare the efficacy of laparoscopic surgery (LS) and abdominal surgery (AS) in ectopic pregnancy surgery.Methods: A computer-based search was conducted in several databases like CNKI, Wanfang data, VIP data, China Biology Medicine disc (CBMdisc), PubMed, Cochrane Library, Embase, and others to gather domestic and foreign literature on treating ectopic pregnancy. This search was carried out from the inception of each database until July 2022. The literature review was performed using Endnote X9 software, and the data was analyzed using STATA 15.1 software for the meta-analysis.Results: Eight articles that met the inclusion criteria were included in the study. Meta-analysis showed that laparoscopic group had shorter operation time than abdominal surgery group [SMD=-1.28, 95%CI(-2.02,0.54), P=0.001], less intraoperative bleeding [SMD=-3.06, 95%CI(-3.82,-2.31), P<0.01], postoperative anus exhaust time was shorter [SMD=-2.60, 95%CI(-3.26,-1.93), P<0.01] and hospital stay was shorter [SMD=-1.74, 95%CI(-2.09,-1.39), P<0.01] with few complications [RR=0.22, 95%CI(0.08,0.55), P=0.001].Laparoscopic surgery has more evident advantages in the treatment of patients with ectopic pregnancy because there is no English literature that meets the inclusion criteria; whether laparoscopic surgery in the treatment of ectopic pregnancy has the same efficacy for European and American populations needs further study.

    Keywords: laparoscopic surgery, Abdominal surgery, Ectopic pregnancy, Meta-analysis, Cochrane ROB2.0

    Received: 15 Mar 2024; Accepted: 05 Jul 2024.

    Copyright: © 2024 Zhai, Chen and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Lin Zhai, Ningbo Medical Centre Lihuili Hospital, Ningbo, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.