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TACE combined with hepatectomy in the treatment of primary hepatocellular carcinoma: A Meta analysis / 中华普通外科杂志
Chinese Journal of General Surgery ; (12): 61-66, 2017.
Artículo en Chino | WPRIM | ID: wpr-620787
ABSTRACT
Objective To evaluate the therapeutic effects of preoperative prophylactic TACE for resectable primary hepatocellular carcinoma patients by mata analysis.Methods The research was conducted by retrieving China biomedical literature database,Chinese CNKI,VIP,Wanfang and PubMed,OVID,Embase,Cochrane library.Randomized controlled trials were evaluated by using the modified Jadad score and the case-control study were evaluated by using the Newcastle-Ottawa Scale respectively.All trials involved were analyzed by Stata12.0.Results 2 316 patients came from 3 randomized controlled trials (RCT) and 8 case-control articles including 752 patients in preoperative prophylactic TACE groups and 1 564 patients from liver resection only group.There was no significant difference in the operation time and blood loss between the two groups (operation timeSMD =0.058,95 % CI-0.166-0.050,P =0.290;the amount of bleedingSMD =-0.098,95 % CI-0.204--0.08,P =0.070).The hospital stay was slightly prolonged in the preoperative prophylactic TACE groups (SMD =-0.86,95% CI-1.57--0.14,P =0.02).There was no significant difference between two groups in the 3-year overall survival and 5-year overall survival (the 3-year overall survivalRR =1.039,95% CI0.964-1.121,P =0.314;the 5-year overall survivalRR =0.96,95% CI0.86-1.08,P =0.505).Conclusion The Preoperative TACE fails to reduce the operation time and intraoperative blood loss,only prolonging the length of hospital stay.While the long-term survival rate remained unimproved.

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Revisiones Sistemáticas Evaluadas Idioma: Chino Revista: Chinese Journal of General Surgery Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Revisiones Sistemáticas Evaluadas Idioma: Chino Revista: Chinese Journal of General Surgery Año: 2017 Tipo del documento: Artículo