The effect of adjuvant chemotherapy in resectable cholangiocarcinoma: A meta-analysis and systematic review.

作者: Ming-Liang Wang , Zhang-Yan Ke , Shuai Yin , Chen-Hai Liu , Qiang Huang

DOI: 10.1016/J.HBPD.2018.11.001

关键词: Retrospective cohort studyOncologyMedicineRandomized controlled trialInternal medicineChemotherapy regimenResectable CholangiocarcinomaCochrane LibraryMeta-analysisHazard ratioChemotherapy

摘要: Abstract Background The benefit of adjuvant chemotherapy for resectable cholangiocarcinoma remains unclear due to the lack randomized control studies. This study aimed investigate possible postoperative cholangiocarcinoma. Data sources Relevant research articles published before 1st March 2018 in PubMed, Embase and Cochrane library databases were retrieved. Published data extracted analyzed by RevMan 5.3, results presented as hazard ratios (HRs) [95% confidence intervals (CI)] forest plots. Results One prospective eighteen retrospective studies included, with a total number 11,458 patients, 4696 whom received chemotherapy. There was significant improvement overall survival (OS) patients who underwent operation + adjuvant compared those operation alone (HR = 0.61; P  Conclusions Postoperative can improve OS intrahepatic hilar patients. However, distal gain no from Prospective trials are warranted order define standard regimen.

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