Laparoscopic liver resection as a safe and efficacious alternative to open resection for colorectal liver metastasis: a meta-analysis

BMC Surgery

Research Article

Yaqing Xiao¹  Hua Li¹  Lupeng Wu²  Bin Li²  Yanming Zhou² 

[1] Department of Digestive Diseases, First affiliated Hospital of Xiamen University, Xiamen, China;Department of Hepatobiliary & Pancreatovascular Surgery, Oncologic Center of Xiamen, First affiliated Hospital of Xiamen University, Xiamen, China;

关键词: Laparoscopic liver resection;    Colorectal liver metastasis;    Meta-analysis;   

DOI  :  10.1186/1471-2482-13-44

 received in 2013-06-04, accepted in 2013-09-27,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe safety and efficacy of laparoscopic liver resection (LLR) for colorectal liver metastasis (CLM) remain to be established. A meta-analysis was undertaken to compare LLR and open liver resection (OLR) for CLM with respect to surgical and oncologic outcomes.MethodsAn electronic search was performed to retrieve all relevant articles published in the English language by the end of March 2013. Data were analyzed using Review Manager version 5.0.ResultsA total of 8 nonrandomized controlled studies with 695 subjects were analyzsed. Intra-operative blood loss, the proportion of patients requiring blood transfusion, morbidity and the length of hospital stay were all significantly reduced after LLR. Postoperative recurrence, 5-year overall and disease-free survivals were comparable between two groups.ConclusionsLLR for CLM is safe and efficacious. It improves surgical outcomes and uncompromises oncologic outcomes as compared with OLR.

【 授权许可】

CC BY   
© Zhou et al.; licensee BioMed Central Ltd. 2013