Meta-analysis of the effect comparison between endoscopic-assisted and traditional prosthetic augmentation mammaplasty
WANG Rong
LI Xiaoqian
ZHOU Xiangyu
SHI Yanran
PENG Yilin
LI Xingwang
SHI Liang
Abstract：Objective To compare the effects of endoscopic-assisted prosthetic augmentation mammaplasty and traditional pros-thetic augmentation mammaplasty through a systematic review.Methods Databases were searched including Embase,PubMed,Cochrane Library,Web of Science,CNKI,China Biomedical Literature Database,VIP,Wanfang Database,etc.The search is available until January 1,2025.Literature was screened in accordance with the inclusion and exclusion criteria by two independent reviewers.Data were extracted,and the quality of the literature was evaluated.The Cochrane risk of bias tool was employed for randomized controlled trials,and the New-castle-Ottawa Scale(NOS)was used for cohort studies for literature quality assessment.Meta-analysis of the literature was conducted using Review Manager 5.4 software.Results A total of 26 articles were included,consisting of 14 randomized clinical controlled trials and 12 cohort studies,involving 2559 patients,among which 1289 were in the endoscopic group and 1270 in the traditional group.The results of the Meta-analysis indicated that the endoscopic group outperformed the traditional group in terms of the incidence of postoperative com-plications[OR=0.21,95%CI(0.15,0.29),P＜0.00001],postoperative satisfaction[OR=4.39,95%CI(3.20,6.02),P＜0.00001],intraoper-ative blood loss[MD=-34.59 ml,95%CI(-39.92,-29.26)ml,P＜0.00001],and wound healing time[MD=-5.28 d,95%CI(-7.15,-3.41)d,P＜0.00001],with statistically significant differences(P<0.05).There was no significant differences in the the operation time[MD=-2.48 min,95%CI(-12.04,7.30)min,P=0.63].Conclusion Compared to traditional prosthetic augmentation mammaplasty,the adoption of endoscopic-assisted prosthetic augmentation mammaplasty can lower the incidence of postoperative complications,decrease intraoperative blood loss,shorten the wound healing time.It also has higher postoperative satisfaction.
Keywords：MammaplastyEndoscopesSurgical procedures operativeMeta-analysis
Publication Date：2026-02-15
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：7( 94-99,后插5 )