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dc.contributor.authorSui, Cheng-Jun
dc.contributor.authorCao, Lu
dc.contributor.authorLi, Bin
dc.contributor.authorYang, Jia-Mei
dc.contributor.authorWang, Shuang-Jia
dc.contributor.authorSu, Xu
dc.contributor.authorZhou, Yan-Ming
dc.contributor.author周彦明
dc.date.accessioned2013-03-19T00:59:30Z
dc.date.available2013-03-19T00:59:30Z
dc.date.issued2012-07
dc.identifier.citationINTERNATIONAL JOURNAL OF COLORECTAL DISEASE,2012,27(7):936-946zh_CN
dc.identifier.issn0179-1958
dc.identifier.urihttp://dx.doi.org/10.1007/s00384-011-1403-5
dc.identifier.uriWOS:000305523500013
dc.identifier.urihttps://dspace.xmu.edu.cn/handle/2288/15162
dc.description.abstractThe purpose of the study was to compare anatomical resection (AR) versus nonanatomical resection (NAR) for colorectal liver metastases (CLM) with respect to perioperative and oncological outcomes. Literature search was performed to identify comparative studies reporting outcomes for both AR and NAR for CLM. Pooled odds ratios (OR) and weighted mean differences (WMD with 95% confidence intervals (95% CI) were calculated using either the fixed effects model or random effects model. Seven nonrandomized controlled studies matched the selection criteria and reported on 1,662 subjects, of whom 989 underwent AR, and 673 underwent NAR for CLM. Compared with the perioperative results, NAR reduced the operation time (WMD, 0.39; 95% CI, 1.97-79.17) and blood transfusion requirement (OR, 2.98; 95% CI, 1.87-4.74), whereas postoperative morbidity and mortality were similar between the two groups. With respect to oncologic outcomes, there was no significant difference in surgical margins, overall survival and disease-free survival between the two groups. NAR is a safe procedure for CLM and does not compromise oncological outcomes. However, the findings have to be carefully interpreted due to the lower level of evidence.zh_CN
dc.language.isoenzh_CN
dc.publisherSPRINGERzh_CN
dc.subjectAnatomical resectionzh_CN
dc.subjectLiver surgeryzh_CN
dc.subjectColorectal liver metastaseszh_CN
dc.subjectMeta-analysiszh_CN
dc.subjectPrognosiszh_CN
dc.titleAnatomical versus nonanatomical resection of colorectal liver metastases: a meta-analysiszh_CN
dc.typeArticlezh_CN


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