Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
-
Zhonghua Wei Chang Wai Ke Za Zhi · Dec 2019
Meta Analysis[Diagnostic value of optical imaging combined with indocyanine green-guided sentinel lymph node biopsy in gastric cancer: a meta-analysis].
Objective: To systematically evaluate the diagnostic value of optical imaging combined with indocyanine green (ICG)-guided sentinel lymph node (SLN) biopsy in gastric cancer, and to identify potential factors that would influence diagnostic accuracy. Methods: Study was carried out by searching the electronic database of PubMed, Embase, Medline, Web of Science, and the Cochrane Library with keywords as "gastric/stomach" and "cancer/carcinoma/tumor/tumour/adenocarcinoma/neoplasm" and "sentinel lymph node" and "near-infrared/NIR or fluorescent imaging" and "indocyanine green/ICG". Literature inclusion criteria: (1) gastric cancer clinical stage was cT0-3; (2) clinical stage determined by at least 2 kinds of imaging modalities; (3) optical imaging (near-infrared or fluorescence imaging) combined with ICG-guided SLN biopsy; (4) prospective study to predict lymph node metastasis; (5) intraoperative or postoperative pathology for all lymph nodes removed; (6) patients number in the literature >10 cases. ⋯ Conclusions: Optical imaging combined with ICG-guided SLN biopsy is clinically feasible, and especially suitable for early gastric cancer. However, the ICG being used in current studies may be overdosed. Higher sensitivity may be achieved from NIR imaging when compared with FI method.
-
Zhonghua Wei Chang Wai Ke Za Zhi · Jul 2011
Meta Analysis[Goal-directed fluid management prevents gastrointestinal complications in abdominal surgery: a meta-analysis of randomized controlled trials].
To assess whether goal-directed fluid management can prevent gastrointestinal complications in major surgery. ⋯ Goal-directed fluid management can stabilize cardiac output, augment oxygen supply, and therefore reduce postoperative complications.
-
Zhonghua Wei Chang Wai Ke Za Zhi · Nov 2010
Review Meta Analysis[Systematic review on safety and efficacy of laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer].
To evaluate the safety and efficacy of laparoscopy- assisted distal gastrectomy (LADG) with D2 lymph node dissection for gastric cancer. ⋯ Short-term outcome of LADG with D2 lymph node dissection for gastric cancer is superior to ODG.