scholarly journals Fast track for open hepatectomy: A systemic review and meta-analysis

2016 ◽  
Vol 36 ◽  
pp. 81-89 ◽  
Author(s):  
Ming Li ◽  
Wei Zhang ◽  
Li Jiang ◽  
Jiayin Yang ◽  
Lunan Yan
2021 ◽  
Author(s):  
BHAVIN VASAVADA ◽  
HARDIK PATEL

Aim of the study: This systemic review and meta-analysis aimed to analyze post-operative morbidity after liver resection, and also study various factors associated with mortality via metaregression analysis. Material and Methods: PubMed, Cochrane Library, Embase, google scholar, web of science with keywords like liver resection; mortality; hepatectomy. Weighted percentage post-operative morbidities were analyzed. Meta-analysis and meta-regression were done by the DerSimonian-Liard random effect model. Heterogeneity was assessed using the Higgins I2 test. Publication bias was assessed using a funnel plot. Funnel plot asymmetry was evaluated by Eggers test. Morbidity was defined as any postoperative morbidity mentioned. Results: A total of 46 studies was included in the final analysis. Total 45771 patients underwent liver resections. 16111 patients experienced complications during the postoperative period. Weighted post-operative morbidity was 30.2% ( 95 % C.I. 24.8-35.7%). Heterogeneity was high with I2 99.46% and p-value <0.01. On univariate analysis, major liver resections were significantly associated with heterogeneity. (p=0.024). However, residual heterogeneity was still high with I2 98.62%, p<0.001. So, multifactor metaregression analysis major hepatectomy (p<0.001), Open hepatectomy (p=0.001), cirrhotic liver (p=0.002), age (p<0.001), blood loss (p<0.001), and colorectal metastasis (p<0.001) independently associated with postoperative morbidity. Residual heterogeneity was moderate I2= 39.9% and nonsignificant p=0.189. Conclusion: Liver resection is associated with high postoperative morbidity and various factors like major hepatectomy, Open hepatectomy, cirrhotic liver, blood loss, and colorectal metastasis were associated with morbidity and responsible for heterogeneity across the studies.


2017 ◽  
Vol 23 ◽  
pp. 125-126
Author(s):  
Olubukola Ajala ◽  
Freda Mold ◽  
Charlotte Broughton ◽  
Debbie Cooke ◽  
Martin Whyte

2020 ◽  
Vol 21 (10) ◽  
pp. 790-801 ◽  
Author(s):  
Narut Prasitlumkum ◽  
Wasawat Vutthikraivit ◽  
Sittinun Thangjui ◽  
Thiratest Leesutipornchai ◽  
Jakrin Kewcharoen ◽  
...  

2017 ◽  
Vol 4 (2) ◽  
pp. 93-96 ◽  
Author(s):  
A. Vishnuvardhan Reddy ◽  
◽  
Syed Ali Aasim ◽  
Rajendra Prasad ◽  
Karthik Satya ◽  
...  

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