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Table 2 Outcomes for central and extended hepatectomy for hepatocellular carcinoma

From: Central hepatectomy versus major hepatectomy for patients with centrally located hepatocellular carcinoma: a systematic review and meta-analysis

Outcomes

Studies (n)

Patients (n)

Effect estimate [RR/MD (95% CI)]

Heterogeneity

Test for overall effect

Favour group

Overall survival

      

 1-year

8

1634

1.00 [0.96, 1.04]

I2 = 16% (P = 0.31)

Z = 0.10 (P = 0.92)

None

 2-year

6

855

1.14 [1.06, 1.23]

I2 = 21% (P = 0.27)

Z = 3.46 (P = 0.0005)

CH

 3-year

7

1530

1.13 [0.97, 1.33]

I2 = 71% (P = 0.002)

Z = 1.56 (P = 0.12)

None

 4-year

5

765

1.31 [1.16, 1.48]

I2 = 6% (P = 0.36)

Z = 4.38 (P < 0.0001)

CH

 5-year

7

1565

1.14 [0.96, 1.35]

I2 = 56% (P = 0.03)

Z = 1.54 (P = 0.12)

None

Disease free survival

     

 1-year

8

1605

1.03 [0.92, 1.15]

I2 = 50% (P = 0.05)

Z = 0.49 (P = 0.63)

 2-year

5

765

1.04 [0.90, 1.20]

I2 = 29% (P = 0.23)

Z = 0.48 (P = 0.63)

 3-year

7

1447

1.19 [0.91, 1.56]

I2 = 74% (P = 0.0007)

Z = 1.26 (P = 0.21)

 4-year

5

765

0.92 [0.75, 1.13]

I2 = 37% (P = 0.18)

Z = 0.79 (P = 0.43)

 5-year

7

1565

0.81 [0.61, 1.08]

I2 = 60% (P = 0.02)

Z = 1.43 (P = 0.15)

Recurrence

4

1081

1.04 [0.94, 1.15]

I2 = 27% (P = 0.25)

Z = 0.76 (P = 0.45)

Mortality

8

1626

0.55 [0.26, 1.15]

I2 = 0% (P = 0.91)

Z = 1.58 (P = 0.11)

Complications

     

 Overall

7

1270

0.94 [0.76, 1.16]

I2 = 0% (P = 0.48)

Z = 0.57 (P = 0.57)

 Liver cell failure

6

1415

0.47 [0.30, 0.76]

I2 = 0% (P = 0.52)

Z = 3.10 (P = 0.002)

CH

 Biliary fistula

7

1455

1.90 [1.07, 3.40]

I2 = 0% (P = 0.85)

Z = 2.18 (P = 0.03)

EH

 Ascites

4

1084

1.95 [1.00, 3.78]

I2 = 0% (P = 0.88)

Z = 1.97 (P = 0.05)

None

 Wound infection

5

1282

0.77 [0.39, 1.52]

I2 = 0% (P = 0.79)

Z = 0.76 (P = 0.44)

Operative details

     

 Time of the operation

4

328

0.82 [0.36, 1.27]

I2 = 57% (P = 0.07)

Z = 3.53 (P = 0.0004)

 Blood loss

3

280

40.87 [− 8.81, 90.54]

I2 = 13% (P = 0.32)

Z = 1.61 (P = 0.11)

 blood transfusion

3

224

269.54 [− 169.28, 708.35]

I2 = 78% (P = 0.01)

Z = 1.20 (P = 0.23)

 Hospital stay

3

280

− 2.17 [− 5.56, 1.22]

I2 = 83% (P = 0.003)

Z = 1.25 (P = 0.21)