Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma

Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 198...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Zhou, Yanming [verfasserIn] Xu, Donghui [verfasserIn] Wu, Lupeng [verfasserIn] Li, Bin [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	Hepatocellular carcinoma Anatomic resection Nonanatomic resection Survival Recurrence

Übergeordnetes Werk:	Enthalten in: Langenbeck's archives of surgery - Berlin : Springer, 1948, 396(2011), 7 vom: 08. Apr., Seite 1109-1117
Übergeordnetes Werk:	volume:396 ; year:2011 ; number:7 ; day:08 ; month:04 ; pages:1109-1117

Links:	Volltext

DOI / URN:	10.1007/s00423-011-0784-9

Katalog-ID:	SPR005580536

Internformat


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245	1	0	\|a Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
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520			\|a Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC.
650		4	\|a Hepatocellular carcinoma \|7 (dpeaa)DE-He213
650		4	\|a Anatomic resection \|7 (dpeaa)DE-He213
650		4	\|a Nonanatomic resection \|7 (dpeaa)DE-He213
650		4	\|a Survival \|7 (dpeaa)DE-He213
650		4	\|a Recurrence \|7 (dpeaa)DE-He213
700	1		\|a Xu, Donghui \|e verfasserin \|4 aut
700	1		\|a Wu, Lupeng \|e verfasserin \|4 aut
700	1		\|a Li, Bin \|e verfasserin \|4 aut
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matchkey_str	article:14352451:2011----::eanlssfntmceetovrunnntmceetofr
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publishDate	2011
allfields	10.1007/s00423-011-0784-9 doi (DE-627)SPR005580536 (SPR)s00423-011-0784-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Zhou, Yanming verfasserin aut Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC. Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Xu, Donghui verfasserin aut Wu, Lupeng verfasserin aut Li, Bin verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 396(2011), 7 vom: 08. Apr., Seite 1109-1117 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117 https://dx.doi.org/10.1007/s00423-011-0784-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 396 2011 7 08 04 1109-1117
spelling	10.1007/s00423-011-0784-9 doi (DE-627)SPR005580536 (SPR)s00423-011-0784-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Zhou, Yanming verfasserin aut Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC. Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Xu, Donghui verfasserin aut Wu, Lupeng verfasserin aut Li, Bin verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 396(2011), 7 vom: 08. Apr., Seite 1109-1117 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117 https://dx.doi.org/10.1007/s00423-011-0784-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 396 2011 7 08 04 1109-1117
allfields_unstemmed	10.1007/s00423-011-0784-9 doi (DE-627)SPR005580536 (SPR)s00423-011-0784-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Zhou, Yanming verfasserin aut Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC. Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Xu, Donghui verfasserin aut Wu, Lupeng verfasserin aut Li, Bin verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 396(2011), 7 vom: 08. Apr., Seite 1109-1117 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117 https://dx.doi.org/10.1007/s00423-011-0784-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 396 2011 7 08 04 1109-1117
allfieldsGer	10.1007/s00423-011-0784-9 doi (DE-627)SPR005580536 (SPR)s00423-011-0784-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Zhou, Yanming verfasserin aut Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC. Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Xu, Donghui verfasserin aut Wu, Lupeng verfasserin aut Li, Bin verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 396(2011), 7 vom: 08. Apr., Seite 1109-1117 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117 https://dx.doi.org/10.1007/s00423-011-0784-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 396 2011 7 08 04 1109-1117
allfieldsSound	10.1007/s00423-011-0784-9 doi (DE-627)SPR005580536 (SPR)s00423-011-0784-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Zhou, Yanming verfasserin aut Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC. Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213 Xu, Donghui verfasserin aut Wu, Lupeng verfasserin aut Li, Bin verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 396(2011), 7 vom: 08. Apr., Seite 1109-1117 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117 https://dx.doi.org/10.1007/s00423-011-0784-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 396 2011 7 08 04 1109-1117
language	English
source	Enthalten in Langenbeck's archives of surgery 396(2011), 7 vom: 08. Apr., Seite 1109-1117 volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117
sourceStr	Enthalten in Langenbeck's archives of surgery 396(2011), 7 vom: 08. Apr., Seite 1109-1117 volume:396 year:2011 number:7 day:08 month:04 pages:1109-1117
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Hepatocellular carcinoma Anatomic resection Nonanatomic resection Survival Recurrence
dewey-raw	610
isfreeaccess_bool	false
container_title	Langenbeck's archives of surgery
authorswithroles_txt_mv	Zhou, Yanming @@aut@@ Xu, Donghui @@aut@@ Wu, Lupeng @@aut@@ Li, Bin @@aut@@
publishDateDaySort_date	2011-04-08T00:00:00Z
hierarchy_top_id	253770440
dewey-sort	3610
id	SPR005580536
language_de	englisch
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This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Hepatocellular carcinoma</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anatomic resection</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nonanatomic resection</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Survival</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Recurrence</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Xu, Donghui</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Wu, Lupeng</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Li, Bin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Langenbeck's archives of surgery</subfield><subfield code="d">Berlin : Springer, 1948</subfield><subfield code="g">396(2011), 7 vom: 08. 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author	Zhou, Yanming
spellingShingle	Zhou, Yanming ddc 610 bkl 44.65 misc Hepatocellular carcinoma misc Anatomic resection misc Nonanatomic resection misc Survival misc Recurrence Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
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topic_title	610 ASE 44.65 bkl Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma Hepatocellular carcinoma (dpeaa)DE-He213 Anatomic resection (dpeaa)DE-He213 Nonanatomic resection (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Recurrence (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 misc Hepatocellular carcinoma misc Anatomic resection misc Nonanatomic resection misc Survival misc Recurrence
topic_unstemmed	ddc 610 bkl 44.65 misc Hepatocellular carcinoma misc Anatomic resection misc Nonanatomic resection misc Survival misc Recurrence
topic_browse	ddc 610 bkl 44.65 misc Hepatocellular carcinoma misc Anatomic resection misc Nonanatomic resection misc Survival misc Recurrence
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title	Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
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title_full	Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
author_sort	Zhou, Yanming
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author_browse	Zhou, Yanming Xu, Donghui Wu, Lupeng Li, Bin
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title_sort	meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
title_auth	Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
abstract	Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC.
abstractGer	Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC.
abstract_unstemmed	Purpose The choice between anatomic resection (AR) versus nonanatomic resection (NAR) for hepatocellular carcinoma (HCC) is controversial. This study is a meta-analysis of the available evidence. Methods A systematic review and meta-analysis of trials comparing AR with NAR for HCC published from 1985 to 2009 in PubMed and Medline database, Cochrane database, Embase database, and Science Citation index were conducted. Overall survival, disease-free survival, and local recurrence rate were considered as primary outcomes. Pooled effect was calculated using either the fixed effects model or random effects model. Results Sixteen nonrandomized studies involving 2,917 patients were analyzed; 1,577 patients were in the AR group, and 1,340 were in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis and hepatitis virus infection, more favorable hepatic function, and larger tumor size compared with patients in the NAR group. AR provided a better 5-year overall survival than NAR (OR, 1.63; 95% CI, 1.15–2.32). Local recurrence (OR, 0.28; 95% CI, 0.16–0.50) and early (≤2 years) recurrence (OR, 0.55; 95 CI, 0.34–0.89) were all significantly lower in the AR group. AR improved disease-free survival significantly at 3 years (OR, 2.09; 95% CI, 1.52–2.88) and 5 years (OR, 2.24; 95% CI, 1.85–2.72). No differences were found between the two groups with respect to postoperative morbidity, mortality, and length of hospital stay. Conclusions AR was superior to NAR in terms of better survival and preventing local recurrence for the treatment of HCC.
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container_issue	7
title_short	Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma
url	https://dx.doi.org/10.1007/s00423-011-0784-9
remote_bool	true
author2	Xu, Donghui Wu, Lupeng Li, Bin
author2Str	Xu, Donghui Wu, Lupeng Li, Bin
ppnlink	253770440
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isOA_txt	false
hochschulschrift_bool	false
doi_str	10.1007/s00423-011-0784-9
up_date	2024-07-03T17:17:14.927Z
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Meta-analysis of anatomic resection versus nonanatomic resection for hepatocellular carcinoma

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