Clinical effect of laparoscopic hepatectomy in treating liver metastasis of colon cancer: a systematic review and meta-analysis

• Main Author: SHEN Yinan
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2014-12-01
• Series: Linchuang Gandanbing Zazhi
• Subjects: laparoscopes; hepatectomy; colonic neoplasms; neoplasm metastasis; Meta-analysis
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=6183&ClassID=1124123332

ObjectiveTo evaluate the clinical effects of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) in treating liver metastasis of colon cancer. MethodsRelevant literature published up to October 2014 was retrieved from databases including PubMed, Medline, Embase, and Cochrane Library. Extended search was done with reference to the retrieved articles. The quality of selected studies was assessed by the Jadad scale. Meta-analysis was performed using the Cochrane Review Manager software (Version 5.3.4). ResultsA total of 10 studies involving 786 patients met the inclusion criteria. Meta-analysis showed no significant differences in duration of operation, perioperative mortality, and 5-year overall survival rate between patients undergoing LH and OH (95% CI: -61.98-23.68, 0.08-4.05, and 0.60-1.58, respectively, P＞0.05 for all), but there were significant differences in intraoperative blood loss, incidence of postoperative complications, and length of hospital stay (95% CI: -323.17-(-113.00), 0.38-0.77, and -5.01-(-2.04), respectively, P＜0.05). ConclusionThe results of this meta-analysis suggest that LH has comparable efficacy and safety to OH in treating liver metastasis of colon cancer and LH has its own advantage.