Laparoscopic Major Gastrointestinal Surgery Is Safe for Properly Selected Patient with COPD: A Meta-Analysis

Table 1

Perioperative characteristics of patients from the included studies.

First author,; year

Number

Age

Gender; (male/female)

BMI (kg/m^2)

ASA class; I/II/III/IV

Stage of COPD; I/II/III/IV

Smoking

Hypertension

Diabetes

Surgery procedures

NOS; Score

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

LG

OG

Tanigawa et al, 2009

61

43

70.0±; 8.2

68.9±; 9.6

54/7

34/9

22.5±; 2.8

21.2±; 2.4

9/42/; 10/0

10/28/; 5/0

35/23/; 3/0

26/15/; 1/1

47

29

30

18

10

9

53 partial gastrectomy, 5 subtotal gastrectomy, 3 total gastrectomy

13 partial gastrectomy, 23 subtotal gastrectomy, 7 total gastrectomy

8

Huang et al, 2013

74

43

60.00±; 10.17

62.51±; 10.23

54/20

27/16

NR

NR

NR

NR

36/34/; 4/0

16/24/; 3/0

NR

NR

NR

NR

NR

NR

45 Dixon surgery, 13 right colectomy, 4 left colectomy, 7 Miles surgery, 5 sigmoidectomy

21 Dixon surgery, 10 right colectomy, 2 left colectomy, 3 Miles surgery, 7 sigmoidectomy

8

Inokuchi et al, 2013

115

105

71.2±; 7.1

71.2±; 8.5

100/15

89/16

23.2±; 2.6

22.5±; 3.1

NR

NR

57/46/; 11/1

49/42/; 12/2

51

40

42

30

18

21

92 distal gastrectomy, 9 proximal gastrectomy, 14 total gastrectomy

71 distal gastrectomy, 9 proximal gastrectomy, 25 total gastrectomy

7

Yu et al, 2014

262

78

60.9±; 7.6

60.4±; 7.7

187/75

52/26

20.7±; 2.9

21.8±; 4.2

145/97/; 20/0

40/31/; 7/0

136/ 108/ 18/0

35/33/; 10/0

135

42

42

20

18

4

137 subtotal gastrectomy, 125 total gastrectomy

46 subtotal gastrectomy, 32 total gastrectomy

9

Hong et al, 2015

44

68

63.1±; 7.3

65.9±; 7.9

33/11

55/13

NR

NR

5/35/; 4/0

10/50; /8/0

28/16/; 0/0

44/24/; 0/0

23

33

NR

NR

NR

NR

26 subtotal gastrectomy, 18 total gastrectomy

41 subtotal gastrectomy, 27 total gastrectomy

9

Pigazzi et al, 2017

2364

2033

68±; 10

69±; 10

1167/ 1197

944/ 1089

28±7.5

29±8

0/371/ 1637/ 350

0/221/; 1488/; 318

NR

NR

836

770

1648

1406

532

493

1132 partial colectomy, 473 right colectomy, 466 left colectomy

1020 partial colectomy, 433 right colectomy, 401 left colectomy

7

BMI = Body Mass Index; ASA = the American Society of Anesthesiology; COPD = Chronic Obstructive Pulmonary Disease; LG = laparoscopic group; OG = open group; NOS = the Newcastle-Ottawa Scale; NR = not reported.
Significant difference, P < 0.05.
Significant difference, P < 0.01.