Laparoscopic and open liver resection : a literature review with meta-analysis

doi:10.5114/aoms.2015.55545

Laparoscopic and open liver resection : a literature review with meta-analysis

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Laparoscopic and open liver resection : a literature review with meta-analysis

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punktacja MEiN [2017 A]: 30

title:	Laparoscopic and open liver resection : a literature review with meta-analysis
author:	Komorowski Andrzej L., Mituś Jerzy , Wysocki Wojciech Maria, Bała Małgorzata
journal title:	Archives of Medical Science
volume:	13
issue:	3
date of publication :	2017
pages:	525-532
ISSN:	1734-1922
eISSN:	1896-9151
DOI:	10.5114/aoms.2015.55545
language:	English
journal language:	English
abstract in English:	Introduction: In recent years laparoscopic approach to liver resections has gained important attention from surgeons worldwide. The aim of this review was to compare the results of laparoscopic and open liver resections. Material and methods: We have performed a search in Medline, Embase and the Cochrane Library databases. Studies comparing laparoscopic and open liver resections were included. Results: No randomized clinical trial were identified. In the 16 observational studies included in the analysis there were 927 laparoscopic and 1049 open liver resections. The laparoscopy group had lower blood loss (MD = 244.93 ml, p < 0.00001), lower odds of transfusion (OR = 0.35, p = 0.0002), lower odds of positive margins on pathology report (OR = 0.22, p < 0.00001), lower odds of readmission (OR = 0.36, p = 0.04), lower odds of pulmonary (OR = 0.38, p = 0.003) and cardiac complications (OR = 0.30, p = 0.02) and lower odds of postoperative liver failure (OR = 0.24, p = 0.001), but in many cases the results were based on a low number of events reported in included studies. Conclusions: Laparoscopic resection of liver yields complications rates comparable to open resection, but the results are based on low quality evidence from nonrandomised studies.
keywords in English:	hepatectomy, surgery, meta-analysis
departmental parameterization:	30
affiliation:	Wydział Lekarski : Zakład Anatomii, Wydział Lekarski : Zakład Higieny i Dietetyki
type:	journal article
subtype:	academic paper

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