應(yīng)用薈萃分析的方法研究同時(shí)性結(jié)直腸癌肝轉(zhuǎn)移患者行Ⅰ期-Ⅱ期肝切除術(shù)的安全性.pdf

1、浙江大學(xué)醫(yī)學(xué)院碩士學(xué)位論文應(yīng)用薈萃分析的方法研究同時(shí)性結(jié)直腸癌肝轉(zhuǎn)移患者行Ⅰ期Ⅱ期肝切除術(shù)的安全性姓名：陳國慶申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：腫瘤外科指導(dǎo)教師：丁克峰20090401浙江人學(xué)顧斗‘學(xué)位論文摘要Studyingthesecurityofsimultaneousversusstagedresectionofsynchronouslivermetastasesfromcolorectalcancerbymeta—analysis’Sm

2、ethodMasterCandidate：ChenGuoqingSupervisorDingKefengDepartmentofoncologicalsurgerythe2“daffiliatedhospitalofZheJianguniversityAbstractObjectives：Toevaluatethesecurityofsimultaneousversusstagedresectionofsynchronousliverm

3、etastasesfromcolorectalcancerMethods：Pubmed／Medline，ISIWebofKnowledge，Springerlink，ebscohost，ElsevierWileyInterscience，GoogleScholarweresearchedforcase—controlstudiesconcerningsimultaneousversusstagedresectionofsyncluono

4、uslivermetastasesfromcolorectalcancerbetween1989andMarch2009，Metaanalysis’SmethodWasperformedtoanalysemorbidityandperioperativeperiodmortalityResults：7case—controlstudies，withtotalnumberof1390patientswithlivermetastasesf

5、romcolorectalcancerundergoingcurativehepaticresectionwerereviewed，ofwhichsimultaneousandstagedresectionwas495and895，respectivelyComparingtostagedgroup，significantdifferenceswerefoundinsimultaneousgroupintermsofperioperat

6、iveperiodmortality[PetoOR339，95％CI(129，893)，P=001】，andnosignificantdifferenceswerefoundinsimultaneousgroupintermsofmorbidity[OR(random)O88，95％CI(O51，151)，P064]Stagedresectionwastosomeextentlowerthansimultaneousresectioni