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Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis
In a meta‐analysis, we assessed the impact of different surgical approaches on the outcome of hepatectomy with hepatocellular carcinoma. Four databases, including PubMed, Embase, Cochrane Library, and the Web of Science, have been critically reviewed through the full literature through June 2023. El...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681463/ https://www.ncbi.nlm.nih.gov/pubmed/37442783 http://dx.doi.org/10.1111/iwj.14313 |
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author | Zhang, Junli Shi, Meiping Ding, Wan Duan, Mingda Dai, Ziqing Chen, Yu |
author_facet | Zhang, Junli Shi, Meiping Ding, Wan Duan, Mingda Dai, Ziqing Chen, Yu |
author_sort | Zhang, Junli |
collection | PubMed |
description | In a meta‐analysis, we assessed the impact of different surgical approaches on the outcome of hepatectomy with hepatocellular carcinoma. Four databases, including PubMed, Embase, Cochrane Library, and the Web of Science, have been critically reviewed through the full literature through June 2023. Eleven related trials were examined once they had met the trial's classification and exclusion criteria, as well as the assessment of the quality. A random effects approach was applied to analysis of operative organ infections, and a fixed‐effect model was applied to determine the 95% CI and OR. Analysis of the data was done with RevMan 5.3. Our findings indicated that patients undergoing minimally invasive liver cancer surgery had significantly lower risks of surgical organ infection (OR, 0.35; 95% CI, 0.16–0.77; p = 0.009) and wound infection (OR, 0.19; 95% CI, 0.13–0.28; p < 0.001) compared to those undergoing open surgery. There was no heterogeneity observed between the two groups (I (2) = 0) in wound infection. Nevertheless, because of the limited number of randomised controlled trials in this meta‐analysis, care should be taken and carefully considered in the treatment of these values. Further high‐quality studies involving a large number of samples are needed to validate and reinforce the results. |
format | Online Article Text |
id | pubmed-10681463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-106814632023-07-13 Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis Zhang, Junli Shi, Meiping Ding, Wan Duan, Mingda Dai, Ziqing Chen, Yu Int Wound J Original Articles In a meta‐analysis, we assessed the impact of different surgical approaches on the outcome of hepatectomy with hepatocellular carcinoma. Four databases, including PubMed, Embase, Cochrane Library, and the Web of Science, have been critically reviewed through the full literature through June 2023. Eleven related trials were examined once they had met the trial's classification and exclusion criteria, as well as the assessment of the quality. A random effects approach was applied to analysis of operative organ infections, and a fixed‐effect model was applied to determine the 95% CI and OR. Analysis of the data was done with RevMan 5.3. Our findings indicated that patients undergoing minimally invasive liver cancer surgery had significantly lower risks of surgical organ infection (OR, 0.35; 95% CI, 0.16–0.77; p = 0.009) and wound infection (OR, 0.19; 95% CI, 0.13–0.28; p < 0.001) compared to those undergoing open surgery. There was no heterogeneity observed between the two groups (I (2) = 0) in wound infection. Nevertheless, because of the limited number of randomised controlled trials in this meta‐analysis, care should be taken and carefully considered in the treatment of these values. Further high‐quality studies involving a large number of samples are needed to validate and reinforce the results. Blackwell Publishing Ltd 2023-07-13 /pmc/articles/PMC10681463/ /pubmed/37442783 http://dx.doi.org/10.1111/iwj.14313 Text en © 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Zhang, Junli Shi, Meiping Ding, Wan Duan, Mingda Dai, Ziqing Chen, Yu Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title | Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title_full | Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title_fullStr | Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title_full_unstemmed | Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title_short | Effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: A meta‐analysis |
title_sort | effect of minimally invasive versus open surgery in hepatectomy on postoperative wound complications in patients with hepatocellular carcinoma: a meta‐analysis |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681463/ https://www.ncbi.nlm.nih.gov/pubmed/37442783 http://dx.doi.org/10.1111/iwj.14313 |
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