Cargando…
Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data
INTRODUCTION: The benefit of three-dimensional (3D) visualization for liver disease is uncertain. AIM: To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD. MATERIAL AND METHODS: We searched PubMed, Embase, Cochrane Library, Medline, and Web of...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991933/ https://www.ncbi.nlm.nih.gov/pubmed/33786111 http://dx.doi.org/10.5114/wiitm.2020.100678 |
_version_ | 1783669274419658752 |
---|---|
author | Zhang, Shumao Huang, Zhanwen Cai, Liang Zhang, Wei Ding, Haoyuan Zhang, Li Chen, Yue |
author_facet | Zhang, Shumao Huang, Zhanwen Cai, Liang Zhang, Wei Ding, Haoyuan Zhang, Li Chen, Yue |
author_sort | Zhang, Shumao |
collection | PubMed |
description | INTRODUCTION: The benefit of three-dimensional (3D) visualization for liver disease is uncertain. AIM: To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD. MATERIAL AND METHODS: We searched PubMed, Embase, Cochrane Library, Medline, and Web of Science for studies addressing 3D versus 2D for 2D until 30 February 2020. Study-specific effect sizes and their 95% confidence intervals (CIs) were combined to calculate the pooled value using a fixed-effects or random-effects model. RESULTS: Nine studies with 808 patients were included. The 3D group had shorter operative time (mean difference (MD) = 34.39; 95% CI = 59.50, 9.28), experienced less intraoperative blood loss (MD = 106.55; 95% CI = 183.76, 29.34), and a smaller blood transfusion volume (MD = 88.25; 95% CI = 141.26, 35.24). The 3D group had a smaller difference between the predicted volume and the actual resected volume (MD = 103.25; 95% CI = 173.24, 33.26) and a lower rate of postoperative complications (odds ratio (OR) = 0.57; 95% CI: 0.35, 0.91). CONCLUSIONS: During surgery, 3D video-assisted hepatectomy could effectively reduce operative time, intraoperative bleeding, and blood transfusion volume, and had a smaller difference between the predicted volume and the actual resected volume and a lower rate of postoperative complications. More high-quality randomized controlled trials are required to verify the reliability and validity of our conclusion. |
format | Online Article Text |
id | pubmed-7991933 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-79919332021-03-29 Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data Zhang, Shumao Huang, Zhanwen Cai, Liang Zhang, Wei Ding, Haoyuan Zhang, Li Chen, Yue Wideochir Inne Tech Maloinwazyjne Meta-Analysis INTRODUCTION: The benefit of three-dimensional (3D) visualization for liver disease is uncertain. AIM: To evaluate the effectiveness and safety of 3D versus two-dimensional (2D) video-assisted hepatectomy for LD. MATERIAL AND METHODS: We searched PubMed, Embase, Cochrane Library, Medline, and Web of Science for studies addressing 3D versus 2D for 2D until 30 February 2020. Study-specific effect sizes and their 95% confidence intervals (CIs) were combined to calculate the pooled value using a fixed-effects or random-effects model. RESULTS: Nine studies with 808 patients were included. The 3D group had shorter operative time (mean difference (MD) = 34.39; 95% CI = 59.50, 9.28), experienced less intraoperative blood loss (MD = 106.55; 95% CI = 183.76, 29.34), and a smaller blood transfusion volume (MD = 88.25; 95% CI = 141.26, 35.24). The 3D group had a smaller difference between the predicted volume and the actual resected volume (MD = 103.25; 95% CI = 173.24, 33.26) and a lower rate of postoperative complications (odds ratio (OR) = 0.57; 95% CI: 0.35, 0.91). CONCLUSIONS: During surgery, 3D video-assisted hepatectomy could effectively reduce operative time, intraoperative bleeding, and blood transfusion volume, and had a smaller difference between the predicted volume and the actual resected volume and a lower rate of postoperative complications. More high-quality randomized controlled trials are required to verify the reliability and validity of our conclusion. Termedia Publishing House 2020-11-05 2021-03 /pmc/articles/PMC7991933/ /pubmed/33786111 http://dx.doi.org/10.5114/wiitm.2020.100678 Text en Copyright: © 2020 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Meta-Analysis Zhang, Shumao Huang, Zhanwen Cai, Liang Zhang, Wei Ding, Haoyuan Zhang, Li Chen, Yue Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title | Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title_full | Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title_fullStr | Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title_full_unstemmed | Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title_short | Three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
title_sort | three-dimensional versus two-dimensional video-assisted hepatectomy for liver disease: a meta-analysis of clinical data |
topic | Meta-Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991933/ https://www.ncbi.nlm.nih.gov/pubmed/33786111 http://dx.doi.org/10.5114/wiitm.2020.100678 |
work_keys_str_mv | AT zhangshumao threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT huangzhanwen threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT cailiang threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT zhangwei threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT dinghaoyuan threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT zhangli threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata AT chenyue threedimensionalversustwodimensionalvideoassistedhepatectomyforliverdiseaseametaanalysisofclinicaldata |