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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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.
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5.	黃莚庭, 王維民, 王加其, 等.門靜脈高壓癥外科治療45年回顧[J].中華外科雜志, 2000, 38(2):85-88.
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7.	高寬江, 曹玉軍, 王茂信, 等.賁門周圍血管離斷術與聯合腸腔靜脈側側分流術治療門靜脈高壓癥的療效比較[J].肝膽外科雜志, 2001, 9(3):200-201.
8.	謝樹民, 楊毅軍, 韓朝陽, 等.不同術式治療門靜脈高壓癥的療效觀察[J].中國現代手術學雜志, 2002, 6(2):116-118.
9.	高德明, 馬慶久, 魯建國, 等.分斷聯合術與斷流術治療食管曲張靜脈破裂出血的對比[J].第四軍醫大學學報, 2002, 23(21):1937-1940.
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11.	任學群, 李宜雄, 史朝暉, 等.門靜脈高壓癥426例外科治療分析[J].鄭州大學學報:醫學版, 2008, 43(3):612-614.
12.	熊炳賢, 謝敏, 孫晉友, 等.門奇斷流術與聯合手術治療食道靜脈破裂出血的比較研究[J].中國普通外科雜志, 2002, 11(1):10-12.
13.	金洪永, 姜洪偉, 姜天明, 等.脾切除聯合賁門周圍血管離斷術與分流術治療門脈高壓癥的療效分析[J].中國老年學雜志, 2008, 28(14):1402-1403.
14.	劉巍, 羅蒙, 孫勇偉, 等.脾腎靜脈分流聯合斷流術與單純斷流術遠期療效比較[J].肝膽胰外科雜志, 2007, 19(5):291-294.
15.	王少文.肝硬化門脈高壓癥并上消化道出血的手術治療分析[J].中國當代醫藥, 2011, 18(29):178-179.
16.	陳紫千.斷流術加食管下段橫斷術治療門靜脈高壓癥上消化道出血[J].臨床外科雜志, 2010, 18(10):680-681.
17.	周文, 劉志蘇.經腹改良Sugiura術與Hassab術治療門靜脈高壓癥的對比研究[J].腹部外科, 2008, 21(5):300-301.
18.	周禮湘, 馮聯忠.兩種斷流術式治療門靜脈高壓癥療效比較[J].浙江醫學, 2008, 30(9):977-978.
19.	陳小勛, 林源, 雷春芳, 等.門奇靜脈斷流術與改良Sugiura術治療門靜脈高壓癥的比較[J].中國普通外科雜志, 2006, 15(1):14-16.
20.	陳光, 劉瑾琨, 張洪玉, 等.脾切除賁門周圍血管離斷術與聯合斷流術治療門靜脈高壓癥療效比較[J].吉林大學學報:醫學版, 2008, 34(4):668-670.
21.	盧凱平, 葉再元, 邵欽樹, 等.吻合器聯合斷流術治療肝硬化門脈高壓癥的療效研究[J].醫學研究雜志, 2011, 40(7):128-130.
22.	潘萬能, 張雪峰, 張思泉, 等.選擇性斷流術治療門靜脈高壓癥97例[J].中國中西醫結合外科雜志, 2008, 14(3):199-201.
23.	于智勇, 許程偉, 張艮龍.分流聯合斷流術治療門靜脈高壓療效分析[J].蚌埠醫學院學報, 2011, 36(8):828-830.
24.	李鋒, 黃林, 羅立乾.賁門周圍血管離斷術26例臨床分析[J].廣西醫學, 2003, 25(8):1579-1580.
25.	陶濤, 石剛, 嚴德輝, 等.賁門周圍血管離斷術加脾切除治療門靜脈高壓癥228例[J].西部醫學, 2009, 21(4):603-605.
26.	伊馬木, 肖柯.賁門周圍血管離斷術治療門脈高壓癥并上消化道大出血治療體會(附26例療效分析)[J].新疆醫學, 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.進一步探討門靜脈高壓癥食管胃底曲張靜脈破裂大出血的外科治療措施[J].中華外科雜志, 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.	Mirkovi? D, Mitrovi? M, Jovanovi? M.Portosystemic shunt in the treatment of portal hypertension[J].Vojnosanit Pregl, 2010, 67(4):321-328.
31.	楊德利.酒精性肝病[J].社區醫學雜志, 2007, 5(7):12-15.
32.	肖和衛, 張順祥, 譚紅專.Meta分析對效應量率的合并方法的研究進展[J].中國預防醫學雜志, 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. 黃莚庭, 王維民, 王加其, 等.門靜脈高壓癥外科治療45年回顧[J].中華外科雜志, 2000, 38(2):85-88.
6. 蔡景修, 董家鴻, 別平, 等.手術治療門靜脈高壓癥392例分析[J].中國實用外科雜志, 1999, 19(11):23-25.
7. 高寬江, 曹玉軍, 王茂信, 等.賁門周圍血管離斷術與聯合腸腔靜脈側側分流術治療門靜脈高壓癥的療效比較[J].肝膽外科雜志, 2001, 9(3):200-201.
8. 謝樹民, 楊毅軍, 韓朝陽, 等.不同術式治療門靜脈高壓癥的療效觀察[J].中國現代手術學雜志, 2002, 6(2):116-118.
9. 高德明, 馬慶久, 魯建國, 等.分斷聯合術與斷流術治療食管曲張靜脈破裂出血的對比[J].第四軍醫大學學報, 2002, 23(21):1937-1940.
10. 黃永南, 冷希圣.肝硬化門靜脈高壓癥的外科治療分析[J].中華普通外科雜志, 2005, 20(1):27-29.
11. 任學群, 李宜雄, 史朝暉, 等.門靜脈高壓癥426例外科治療分析[J].鄭州大學學報:醫學版, 2008, 43(3):612-614.
12. 熊炳賢, 謝敏, 孫晉友, 等.門奇斷流術與聯合手術治療食道靜脈破裂出血的比較研究[J].中國普通外科雜志, 2002, 11(1):10-12.
13. 金洪永, 姜洪偉, 姜天明, 等.脾切除聯合賁門周圍血管離斷術與分流術治療門脈高壓癥的療效分析[J].中國老年學雜志, 2008, 28(14):1402-1403.
14. 劉巍, 羅蒙, 孫勇偉, 等.脾腎靜脈分流聯合斷流術與單純斷流術遠期療效比較[J].肝膽胰外科雜志, 2007, 19(5):291-294.
15. 王少文.肝硬化門脈高壓癥并上消化道出血的手術治療分析[J].中國當代醫藥, 2011, 18(29):178-179.
16. 陳紫千.斷流術加食管下段橫斷術治療門靜脈高壓癥上消化道出血[J].臨床外科雜志, 2010, 18(10):680-681.
17. 周文, 劉志蘇.經腹改良Sugiura術與Hassab術治療門靜脈高壓癥的對比研究[J].腹部外科, 2008, 21(5):300-301.
18. 周禮湘, 馮聯忠.兩種斷流術式治療門靜脈高壓癥療效比較[J].浙江醫學, 2008, 30(9):977-978.
19. 陳小勛, 林源, 雷春芳, 等.門奇靜脈斷流術與改良Sugiura術治療門靜脈高壓癥的比較[J].中國普通外科雜志, 2006, 15(1):14-16.
20. 陳光, 劉瑾琨, 張洪玉, 等.脾切除賁門周圍血管離斷術與聯合斷流術治療門靜脈高壓癥療效比較[J].吉林大學學報:醫學版, 2008, 34(4):668-670.
21. 盧凱平, 葉再元, 邵欽樹, 等.吻合器聯合斷流術治療肝硬化門脈高壓癥的療效研究[J].醫學研究雜志, 2011, 40(7):128-130.
22. 潘萬能, 張雪峰, 張思泉, 等.選擇性斷流術治療門靜脈高壓癥97例[J].中國中西醫結合外科雜志, 2008, 14(3):199-201.
23. 于智勇, 許程偉, 張艮龍.分流聯合斷流術治療門靜脈高壓療效分析[J].蚌埠醫學院學報, 2011, 36(8):828-830.
24. 李鋒, 黃林, 羅立乾.賁門周圍血管離斷術26例臨床分析[J].廣西醫學, 2003, 25(8):1579-1580.
25. 陶濤, 石剛, 嚴德輝, 等.賁門周圍血管離斷術加脾切除治療門靜脈高壓癥228例[J].西部醫學, 2009, 21(4):603-605.
26. 伊馬木, 肖柯.賁門周圍血管離斷術治療門脈高壓癥并上消化道大出血治療體會(附26例療效分析)[J].新疆醫學, 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.進一步探討門靜脈高壓癥食管胃底曲張靜脈破裂大出血的外科治療措施[J].中華外科雜志, 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. Mirkovi? D, Mitrovi? M, Jovanovi? M.Portosystemic shunt in the treatment of portal hypertension[J].Vojnosanit Pregl, 2010, 67(4):321-328.
31. 楊德利.酒精性肝病[J].社區醫學雜志, 2007, 5(7):12-15.
32. 肖和衛, 張順祥, 譚紅專.Meta分析對效應量率的合并方法的研究進展[J].中國預防醫學雜志, 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

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