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. 2023 Jan 5;23:2. doi: 10.1186/s12893-022-01891-7

Table 2.

Outcomes for central and extended hepatectomy for hepatocellular carcinoma

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)