Meta-Analysis of Effect in Pericardial Devascularization for Patients with Portal Hypertension_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUSi-da ,  LIYi-ming , JIHong , LUHong-wei

Department of General Surgery, The Second Affiliated Hospital, College of Medicine, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China;

Corresponding author：

LIYi-ming, Email: puwai2yuan@163.com

Keywords：

Pericardial devascularization; Portal hypertension; Postoperative complication; Meta-analysis

DOI：

10.7507/1007-9424.20140014

Video：

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Objective To analyze the effect and incidence rate of major postoperative complications of pericardial devascularization in treatment of portal hypertension. Methods English and Chinese literatures about pericardial deva-scularization in treatment of portal hypertension were searched through Medline, Elsevier, PubMed, CNKI, and WanFang database, and meta analysis was taken in the process by using R-2.15 software. Results In total of 671 literatures were searched and 23 were selected finally according to inclusion criteria and exclusion criteria.The results of meta analysis showed that, the effect of pericardial devascularization in treatment of portal hypertension were as follows:the incidence rate of rebleeding was 21%(95% CI: 0.18-0.24), the incidence rate of hepatic encephalopathy was 4%(95% CI: 0.02-0.06), the incidence rate of ascites was 29%(95% CI: 0.14-0.47), mortality of operation was 3%(95% CI: 0.02-0.04), mortality was 23%(95% CI: 0.15-0.33). Conclusions There is a certain incidence rate of complications of pericardial devascularization, of which the most common complication is rebleeding.So, it is necessary to do further improvement and development of pericardial devascularization.

Citation： LIUSi-da, LIYi-ming, JIHong, LUHong-wei. Meta-Analysis of Effect in Pericardial Devascularization for Patients with Portal Hypertension. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 69-75. doi: 10.7507/1007-9424.20140014 Copy

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2.	Slim K, Nini E, Forestier D, et al.Methodological index for non-randomized studies (minors):development and validation of a new instrument[J].ANZ J Surg, 2003, 73(9):712-716.
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5.	黄莚庭, 王维民, 王加其, 等.门静脉高压症外科治疗45年回顾[J].中华外科杂志, 2000, 38(2):85-88.
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7.	高宽江, 曹玉军, 王茂信, 等.贲门周围血管离断术与联合肠腔静脉侧侧分流术治疗门静脉高压症的疗效比较[J].肝胆外科杂志, 2001, 9(3):200-201.
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9.	高德明, 马庆久, 鲁建国, 等.分断联合术与断流术治疗食管曲张静脉破裂出血的对比[J].第四军医大学学报, 2002, 23(21):1937-1940.
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11.	任学群, 李宜雄, 史朝晖, 等.门静脉高压症426例外科治疗分析[J].郑州大学学报:医学版, 2008, 43(3):612-614.
12.	熊炳贤, 谢敏, 孙晋友, 等.门奇断流术与联合手术治疗食道静脉破裂出血的比较研究[J].中国普通外科杂志, 2002, 11(1):10-12.
13.	金洪永, 姜洪伟, 姜天明, 等.脾切除联合贲门周围血管离断术与分流术治疗门脉高压症的疗效分析[J].中国老年学杂志, 2008, 28(14):1402-1403.
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15.	王少文.肝硬化门脉高压症并上消化道出血的手术治疗分析[J].中国当代医药, 2011, 18(29):178-179.
16.	陈紫千.断流术加食管下段横断术治疗门静脉高压症上消化道出血[J].临床外科杂志, 2010, 18(10):680-681.
17.	周文, 刘志苏.经腹改良Sugiura术与Hassab术治疗门静脉高压症的对比研究[J].腹部外科, 2008, 21(5):300-301.
18.	周礼湘, 冯联忠.两种断流术式治疗门静脉高压症疗效比较[J].浙江医学, 2008, 30(9):977-978.
19.	陈小勋, 林源, 雷春芳, 等.门奇静脉断流术与改良Sugiura术治疗门静脉高压症的比较[J].中国普通外科杂志, 2006, 15(1):14-16.
20.	陈光, 刘瑾琨, 张洪玉, 等.脾切除贲门周围血管离断术与联合断流术治疗门静脉高压症疗效比较[J].吉林大学学报:医学版, 2008, 34(4):668-670.
21.	卢凯平, 叶再元, 邵钦树, 等.吻合器联合断流术治疗肝硬化门脉高压症的疗效研究[J].医学研究杂志, 2011, 40(7):128-130.
22.	潘万能, 张雪峰, 张思泉, 等.选择性断流术治疗门静脉高压症97例[J].中国中西医结合外科杂志, 2008, 14(3):199-201.
23.	于智勇, 许程伟, 张艮龙.分流联合断流术治疗门静脉高压疗效分析[J].蚌埠医学院学报, 2011, 36(8):828-830.
24.	李锋, 黄林, 罗立乾.贲门周围血管离断术26例临床分析[J].广西医学, 2003, 25(8):1579-1580.
25.	陶涛, 石刚, 严德辉, 等.贲门周围血管离断术加脾切除治疗门静脉高压症228例[J].西部医学, 2009, 21(4):603-605.
26.	伊马木, 肖柯.贲门周围血管离断术治疗门脉高压症并上消化道大出血治疗体会(附26例疗效分析)[J].新疆医学, 2007, 37(2):45-46.
27.	Xu XB, Cai JX, Leng XS, et al.Clinical analysis of surgical treatment of portal hypertension[J].World J Gastroenterol, 2005, 11(29):4552-4559.
28.	裘法祖.进一步探讨门静脉高压症食管胃底曲张静脉破裂大出血的外科治疗措施[J].中华外科杂志, 1981, 19(4):193.
29.	Livingstone AS, Koniaris LG, Perez EA, et al.507 Warren-Zeppa distal splenorenal shunts:a 34-year experience[J].Ann Surg, 2006, 243(6):884-892.
30.	Mirković D, Mitrović M, Jovanović M.Portosystemic shunt in the treatment of portal hypertension[J].Vojnosanit Pregl, 2010, 67(4):321-328.
31.	杨德利.酒精性肝病[J].社区医学杂志, 2007, 5(7):12-15.
32.	肖和卫, 张顺祥, 谭红专.Meta分析对效应量率的合并方法的研究进展[J].中国预防医学杂志, 2011, 12(5):445-447.

1. Jadad AR, Moore RA, Carroll D, et al.Assessing the quality of reports of randomized clinical trials:is blinding necessary?[J].Control Clin Trials, 1996, 17(1):1-12.
2. Slim K, Nini E, Forestier D, et al.Methodological index for non-randomized studies (minors):development and validation of a new instrument[J].ANZ J Surg, 2003, 73(9):712-716.
3. Dong MJ, Peng B, Lin XT, et al.The prevalence of dementia in the people's republic of China:a systematic analysis of 1980-2004 studies[J].Age Ageing, 2007, 36(6):619-624.
4. Hayashino Y, Noguchi Y, Fukui T.Systematic evaluation and comparison of statistical tests for publication bias[J].J Epidemiol, 2005, 15(6):235-243.
5. 黄莚庭, 王维民, 王加其, 等.门静脉高压症外科治疗45年回顾[J].中华外科杂志, 2000, 38(2):85-88.
6. 蔡景修, 董家鸿, 别平, 等.手术治疗门静脉高压症392例分析[J].中国实用外科杂志, 1999, 19(11):23-25.
7. 高宽江, 曹玉军, 王茂信, 等.贲门周围血管离断术与联合肠腔静脉侧侧分流术治疗门静脉高压症的疗效比较[J].肝胆外科杂志, 2001, 9(3):200-201.
8. 谢树民, 杨毅军, 韩朝阳, 等.不同术式治疗门静脉高压症的疗效观察[J].中国现代手术学杂志, 2002, 6(2):116-118.
9. 高德明, 马庆久, 鲁建国, 等.分断联合术与断流术治疗食管曲张静脉破裂出血的对比[J].第四军医大学学报, 2002, 23(21):1937-1940.
10. 黄永南, 冷希圣.肝硬化门静脉高压症的外科治疗分析[J].中华普通外科杂志, 2005, 20(1):27-29.
11. 任学群, 李宜雄, 史朝晖, 等.门静脉高压症426例外科治疗分析[J].郑州大学学报:医学版, 2008, 43(3):612-614.
12. 熊炳贤, 谢敏, 孙晋友, 等.门奇断流术与联合手术治疗食道静脉破裂出血的比较研究[J].中国普通外科杂志, 2002, 11(1):10-12.
13. 金洪永, 姜洪伟, 姜天明, 等.脾切除联合贲门周围血管离断术与分流术治疗门脉高压症的疗效分析[J].中国老年学杂志, 2008, 28(14):1402-1403.
14. 刘巍, 罗蒙, 孙勇伟, 等.脾肾静脉分流联合断流术与单纯断流术远期疗效比较[J].肝胆胰外科杂志, 2007, 19(5):291-294.
15. 王少文.肝硬化门脉高压症并上消化道出血的手术治疗分析[J].中国当代医药, 2011, 18(29):178-179.
16. 陈紫千.断流术加食管下段横断术治疗门静脉高压症上消化道出血[J].临床外科杂志, 2010, 18(10):680-681.
17. 周文, 刘志苏.经腹改良Sugiura术与Hassab术治疗门静脉高压症的对比研究[J].腹部外科, 2008, 21(5):300-301.
18. 周礼湘, 冯联忠.两种断流术式治疗门静脉高压症疗效比较[J].浙江医学, 2008, 30(9):977-978.
19. 陈小勋, 林源, 雷春芳, 等.门奇静脉断流术与改良Sugiura术治疗门静脉高压症的比较[J].中国普通外科杂志, 2006, 15(1):14-16.
20. 陈光, 刘瑾琨, 张洪玉, 等.脾切除贲门周围血管离断术与联合断流术治疗门静脉高压症疗效比较[J].吉林大学学报:医学版, 2008, 34(4):668-670.
21. 卢凯平, 叶再元, 邵钦树, 等.吻合器联合断流术治疗肝硬化门脉高压症的疗效研究[J].医学研究杂志, 2011, 40(7):128-130.
22. 潘万能, 张雪峰, 张思泉, 等.选择性断流术治疗门静脉高压症97例[J].中国中西医结合外科杂志, 2008, 14(3):199-201.
23. 于智勇, 许程伟, 张艮龙.分流联合断流术治疗门静脉高压疗效分析[J].蚌埠医学院学报, 2011, 36(8):828-830.
24. 李锋, 黄林, 罗立乾.贲门周围血管离断术26例临床分析[J].广西医学, 2003, 25(8):1579-1580.
25. 陶涛, 石刚, 严德辉, 等.贲门周围血管离断术加脾切除治疗门静脉高压症228例[J].西部医学, 2009, 21(4):603-605.
26. 伊马木, 肖柯.贲门周围血管离断术治疗门脉高压症并上消化道大出血治疗体会(附26例疗效分析)[J].新疆医学, 2007, 37(2):45-46.
27. Xu XB, Cai JX, Leng XS, et al.Clinical analysis of surgical treatment of portal hypertension[J].World J Gastroenterol, 2005, 11(29):4552-4559.
28. 裘法祖.进一步探讨门静脉高压症食管胃底曲张静脉破裂大出血的外科治疗措施[J].中华外科杂志, 1981, 19(4):193.
29. Livingstone AS, Koniaris LG, Perez EA, et al.507 Warren-Zeppa distal splenorenal shunts:a 34-year experience[J].Ann Surg, 2006, 243(6):884-892.
30. Mirković D, Mitrović M, Jovanović M.Portosystemic shunt in the treatment of portal hypertension[J].Vojnosanit Pregl, 2010, 67(4):321-328.
31. 杨德利.酒精性肝病[J].社区医学杂志, 2007, 5(7):12-15.
32. 肖和卫, 张顺祥, 谭红专.Meta分析对效应量率的合并方法的研究进展[J].中国预防医学杂志, 2011, 12(5):445-447.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Meta-Analysis of Effect in Pericardial Devascularization for Patients with Portal Hypertension

Abstract Full text Figures/Tables Video References Cited by

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