Meta-analysis Of Liver Resection For Hepatocellular Carcinoma Precise Clinical Effects

Objective:To evaluate the Precise system for the treatment of Primary liver resection liver cancer clinical results. Method:Pub Med, CNKI Chinese Biomedical Database(CBM), and Wanfang databases were searched to identify randomized controlled trialsnd controlled trials that assessed the efficacy of Precise keratectomy and Conventional hePatectomy in treatment of Primary liver cancer。Using RevMan 5.3 software for Precise liver resection and conventional liver resection in the Postoperative Prognosis of outcome measures and Meta-analysis Results. Result:A total of four randomized controlled trials and five controlled clinical trials, A total of 774 cases of Patients. Compared to Precise liver resection and conventional liver resection, Significantly shorten the hospital stay [MD=-3.22,95% CI:-3.93-2.51, P<0.00001], Reduces blood loss [MD=-228.61,95%CI:-308.46-148.76, P<0.00001],Significantly reduces the residual ratio of margin [OR=0.12,95% CI:0.04-0.35, P<0.0001],Reducing the 1-year recurrence rate, Improved one-year survival rate [OR=2.16,95% CI:1.34-3.46, P=0.001],Almandine aminotransferase accelerated Postoperative recovery [MD=-122.00,95% CI:-195.05-48.95, P=0.001] and aspartame aminotransferase recovery [MD=-160.79,95% CI:-224.81--96.77), P<0.00001],And total bilirubin recovery [MD =-8.74,95% CI:-10.57--6.91), P<0.00001],The Postoperative recovery of albumin was no significant difference (P=0.22).Significantly reducing the overall incidence of complications, The incidence of abdominal effusion which significantly reduced, Reduced incidence of bile leakage [OR=0.32,95% CI:0.12-0.86, P=0.02],And liver failure, infection and the incidence of gastrointestinal bleeding was no significant difference (P> 0.05).Conclusions:Existing studies show, Precise liver resection for the treatment of Primary liver cancer compared with conventional liver resection with good clinical results, Not only able to completely remove the lesion, And reduces the recurrence rate and improve the survival rate, accelerate Postoperative recovery of liver function, reduce Postoperative complications, With less trauma, quicker recovery, safe, effective, etc., However, due to the small simple size, expect more high-quality trials Provide evidence.