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Pancreatectomy Combined with Superior Mesenteric Vein-Portal Vein Resection for Pancreatic Cancer: A Meta-analysis
Zhou, Yanming ; Zhang, Zhiming ; Liu, Yujian ; Li, Bin ; Xu, Donghui ; Xu DH(许东晖)
2012-04
关键词BLOC VASCULAR RESECTION LONG-TERM SURVIVAL HEAD CARCINOMA DUCTAL ADENOCARCINOMA CLINICAL-SIGNIFICANCE VENOUS RESECTION PANCREATICODUODENECTOMY CONTRAINDICATION BENEFITS SURGERY
英文摘要Pancreatectomy combined with superior mesenteric vein-portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74-1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73-1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32-1.02; P = 0.06) between patients with VR and those without VR. Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution.
语种英语
出版者SPRINGER
内容类型期刊论文
源URL[http://dx.doi.org/10.1007/s00268-012-1461-z]  
专题医学院-已发表论文
推荐引用方式
GB/T 7714
Zhou, Yanming,Zhang, Zhiming,Liu, Yujian,et al. Pancreatectomy Combined with Superior Mesenteric Vein-Portal Vein Resection for Pancreatic Cancer: A Meta-analysis[J],2012.
APA Zhou, Yanming,Zhang, Zhiming,Liu, Yujian,Li, Bin,Xu, Donghui,&许东晖.(2012).Pancreatectomy Combined with Superior Mesenteric Vein-Portal Vein Resection for Pancreatic Cancer: A Meta-analysis..
MLA Zhou, Yanming,et al."Pancreatectomy Combined with Superior Mesenteric Vein-Portal Vein Resection for Pancreatic Cancer: A Meta-analysis".(2012).
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