SynthesisWorld journal of gastroenterology2015
Sequential vs simultaneous revascularization in patients undergoing liver transplantation: A meta-analysis.
Synthesis in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Simultaneous embolization of the right portal and hepatic veins before intrahepatic cholangiocarcinoma resection.Einstein (Sao Paulo, Brazil) · 2024Article
- Histological Assessment of the Bile Duct before Liver Transplantation: Does the Bile Duct Injury Score Predict Biliary Strictures?Journal of clinical medicine · 2023Article
- Could retrograde reperfusion combined with washout technique broaden the applicability of marginal grafts in liver transplantation? Intra-operative and short-term outcomes of a prospective cohort.Revista do Colegio Brasileiro de Cirurgioes · 2023Article
- Clinical Characteristics and Risk Factors for Intra-Abdominal Infection withPathogens (Basel, Switzerland) · 2022Article
- Short- and Long-Term Outcomes of Different Reperfusion Sequences in Liver Transplantation.Annals of transplantation · 2021Article
- Early prophylactic anticoagulation for portal vein system thrombosis after splenectomy: A systematic review and meta-analysis.Biomedical reports · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
aimWe undertook this meta-analysis to investigate the relationship between revascularization and outcomes after liver transplantation.
methodsA literature search was performed using MeSH and key words. The quality of the included studies was assessed using the Jadad Score and the Newcastle-Ottawa Scale. Heterogeneity was evaluated by the χ(2) and I (2) tests. The risk of publication bias was assessed using a funnel plot and Egger's test, and the risk of bias was assessed using a domain-based assessment tool. A sensitivity analysis was conducted by reanalyzing the data using different statistical approaches.
resultsSix studies with a total of 467 patients were included. Ischemic-type biliary lesions were significantly reduced in the simultaneous revascularization group compared with the sequential revascularization group (OR = 4.97, 95%CI: 2.45-10.07; P < 0.00001), and intensive care unit (ICU) days were decreased (MD = 2.00, 95%CI: 0.55-3.45; P = 0.007) in the simultaneous revascularization group. Although warm ischemia time was prolonged in simultaneous revascularization group (MD = -25.84, 95%CI: -29.28-22.40; P < 0.00001), there were no significant differences in other outcomes between sequential and simultaneous revascularization groups. Assessment of the risk of bias showed that the methods of random sequence generation and blinding might have been a source of bias. The sensitivity analysis strengthened the reliability of the results of this meta-analysis.
conclusionThe results of this study indicate that simultaneous revascularization in liver transplantation may reduce the incidence of ischemic-type biliary lesions and length of stay of patients in the ICU.
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