AUTHOR=Lu Tianjian , Zhang Ruoxi , Jiang Kexin , Wang Zihuai , Hao Xiaohu , Chen Nan , Liu Lunxu 

TITLE=Electrocautery vs. Stapler in Comparing Safety for Segmentectomy of Lung Cancer: A Meta-Analysis

JOURNAL=Frontiers in Surgery

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2021.711685

DOI=10.3389/fsurg.2021.711685

ISSN=2296-875X

ABSTRACT=<p><bold>Background:</bold> 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.</p><p><bold>Methods:</bold> 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.</p><p><bold>Results:</bold> 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), <italic>P</italic> = 0.02)] and air leak [OR: 3.91, 95% CI (1.64, 9.35), <italic>P</italic> = 0.002)]. No significant difference was found in the comparison of surgery time, blood loss, and duration of tube days or hospitality days.</p><p><bold>Conclusions:</bold> Our study indicated that patients under segmentectomy were associated with better safety by using stapler than electrocautery in the reduction of postoperative complications.</p>