Stent insertion with high-intensity focused ultrasound ablation for malignant biliary obstruction
| العنوان: | Stent insertion with high-intensity focused ultrasound ablation for malignant biliary obstruction |
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| المؤلفون: | Peng-Fei Cai, Hong Gu, Lei-Juan Zhu, Hong-Yan Deng, Yuan-Shun Xu |
| المصدر: | Medicine |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, high-intensity focused ultrasound ablation, medicine.medical_treatment, Cochrane Library, 03 medical and health sciences, 0302 clinical medicine, Meta-Analysis as Topic, malignant, Clinical endpoint, Humans, Medicine, cardiovascular diseases, 030212 general & internal medicine, Cholestasis, business.industry, Stent, General Medicine, Publication bias, equipment and supplies, Ablation, High-intensity focused ultrasound, Biliary Tract Neoplasms, Treatment Outcome, surgical procedures, operative, 030220 oncology & carcinogenesis, Meta-analysis, Stents, stent, Radiology, business, Complication, Systematic Review and Meta-Analysis, Systematic Reviews as Topic, Research Article, biliary |
| الوصف: | Background: This meta-analysis was conducted in order to understand the clinical efficacy of stent insertion with high-intensity focused ultrasound (HIFU) ablation for the treatment of malignant biliary obstruction (MBO). Methods: The Pubmed, Embase, and Cochrane Library databases were searched for all relevant studies published through July 2020. The meta-analysis was conducted using RevMan v5.3, with analyzed study endpoints including the rate of stent dysfunction, time to stent dysfunction, stent patency, complication rate, and overall survival (OS). Results: In total, 35 potentially relevant studies were initially identified, of which 6 were ultimately included in the present meta-analysis. These 6 studies included 429 MBO patients that were treated either only via stenting (n = 221) or via stenting in combination with HIFU ablation (n = 208). Pooled stent dysfunction rates in the stent and stent with HIFU groups were 25.9% and 18.0%, respectively (OR: 1.59; 95% CI: 0.88, 2.84, P = .12). The average time to stent dysfunction was significantly longer in the stent with HIFU group relative to the stent group (MD: −3.15; 95% CI: −3.53, −2.77, P |
| تدمد: | 1536-5964 0025-7974 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7da5f3a3f90a28588d42c552f7dfa335 https://doi.org/10.1097/md.0000000000023922 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7da5f3a3f90a28588d42c552f7dfa335 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15365964 00257974 |
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