Hydatid liver cysts: radical vs conservative surgery: a Meta-analysis
10.3760/cma.j.issn.1007-8118.2015.11.007
- VernacularTitle:肝囊型包虫病囊肿完整切除术与外囊切开内囊摘除术临床疗效的Meta分析
- Author:
Qiang GUO
;
Agee TUERGANAILI
;
Tiemin JIANG
;
Bo RAN
;
Yingmei SHAO
;
Hao WEN
- Publication Type:Journal Article
- Keywords:
Hepatic cystic echinococcosis;
Radical surgery;
Conservative surgery;
Meta analysis
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(11):746-750
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness and safety of radical versus conservative surgery for hydatid liver cysts.Methods The Pubmed, EMBASE, MEDLINE, Cochrane Library, Chinese Biomedicine Database, CNKI, Wan Fang Databases, VIP Databases, Chinese scientific and technical journals full-text database and Chinese Journal of full text database were searched for randomized clinical trials or none-randomized clinical trials from January 2000 to January 2015.A Meta-analysis was performed with RevMan5.1.Results 10 studies with 2 123 patients were included into the final analysis.Meta-analysis demonstrated that the radical group was significantly longer in operation time [weighted mean difference (WMD) =25.11;95％ CI: 16.18-34.05;P ＜ 0.05], was significantly shorter in the length of hospital stay (WMD =-3.94;95％CI:-7.57-0.32;P ＜0.05), was significantly lower in the incidence of bile leak (OR =0.19;95％ CI: 0.07-0.49;P ＜ 0.05), was significantly lower in the incidence of residual cavity infection (OR =0.08;95 ％ CI: 0.04-0.15;P ＜ 0.05), and in the incidence of local recurrence (OR =0.10;95 ％ CI: 0.05-0.18;P ＜ 0.05) when compared with the conservative surgery group.Conclusions For hydatid liver cysts, radical surgical procedures had significantly lower rates of complications and recurrence.Thus, they are better treatments for hepatic cystic echinococcosis.
