Meta-Analysis
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 7, 2014; 20(45): 17235-17243
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17235
Anterior vs conventional approach hepatectomy for large liver cancer: A meta-analysis
Lei Li, Hai-Qing Wang, Qing Wang, Jian Yang, Jia-Yin Yang
Lei Li, Hai-Qing Wang, Qing Wang, Jian Yang, Jia-Yin Yang, Department of Liver Surgery, Liver Transplantation Center, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China
Author contributions: Li L, Wang HQ, Yang J and Yang JY designed and performed the research and contributed new reagents and analytic tools; Li L, Wang HQ and Wang Q analyzed the data; Li L and Wang HQ wrote the paper.
Supported by Grants from the National Science and Technology Major Project of China, No. 2012ZX10002-016 and No. 2012ZX10002-017
Correspondence to: Jia-Yin Yang, MD, Department of Liver Surgery, Liver Transplantation Center, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Sichuan Province, Chengdu 610041, China. yangjygyz@163.com
Telephone: +86-28-85422867 Fax: +86-28-85422867
Received: May 4, 2014
Revised: July 1, 2014
Accepted: July 24, 2014
Published online: December 7, 2014
Core Tip

Core tip: Hepatectomy remains one of the best treatments of choice for primary or metastatic liver tumors of the right hepatic lobe. Anterior and conventional approaches are the most common methods for liver resection. We conducted a systematic review and meta-analysis to evaluate their feasibility, safety and efficacy. Anterior approach hepatectomy has more advantages than the conventional approach, and no significant difference from the conventional approach for perioperative complications, intraoperative tumor rupture, and length of hospital stay.