A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures

Introduction There is an academic debate over surgical treatments of liver hydatid cyst disease. In this study, a systematic review and meta-analysis were carried out in order to evaluate the pros and cons of both PAIR (Puncture, Aspiration, Injection, Respiration) and laparoscopic techniques by con...

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Autores principales:	Massoud Sokouti, Ramin Sadeghi, Saeid Pashazadeh, Saeed Eslami Hasan Abadi, Mohsen Sokouti, Morteza Ghojazadeh, Babak Sokouti
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2019
Materias:	laparoscopy liver hydatid cyst echinococcosis pair meta-anlysis meta-analysis Medicine R
Acceso en línea:	https://doaj.org/article/82bfd08809084673946e03b1cb0100b5
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spelling	oai:doaj.org-article:82bfd08809084673946e03b1cb0100b52021-12-02T19:15:49ZA systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures1734-19221896-915110.5114/aoms.2018.73344https://doaj.org/article/82bfd08809084673946e03b1cb0100b52019-03-01T00:00:00Zhttps://www.archivesofmedicalscience.com/A-systematic-review-and-meta-analysis-on-the-treatment-of-liver-hydatid-cyst-using,69662,0,2.htmlhttps://doaj.org/toc/1734-1922https://doaj.org/toc/1896-9151Introduction There is an academic debate over surgical treatments of liver hydatid cyst disease. In this study, a systematic review and meta-analysis were carried out in order to evaluate the pros and cons of both PAIR (Puncture, Aspiration, Injection, Respiration) and laparoscopic techniques by considering the outcomes of liver hydatid cysts. Material and methods We designed descriptive Boolean queries to search two databases, PubMed and Scopus, to derive the articles published in the period of January 2000 to December 2016 in order to evaluate the outcomes of these research articles. The outcomes of laparoscopic and PAIR procedures include the rates of cure, postoperative complications, recurrences, and mortality, which were extracted, assessed, and used as their corresponding effect sizes. Results Fifty-seven studies including a total of 2832 patients (PAIR group n = 1650 and laparoscopic group = 1182) were analyzed. In this meta-analysis study, a random effect model of correlations of outcomes (postoperative complications, mortalities, recurrences, and cure rates) of PAIR and laparoscopy procedures was used. The meta-analysis and the forest plots of the two procedures show that the PAIR approach is superior in terms of cure, complication, and mortality rates compared with the laparoscopy technique. However, the recurrence rate is low in laparoscopic approaches. Moreover, Egger’s tests for determining publication bias and heterogeneity tests were also performed. Conclusions This study shows promising trends toward an advantage of PAIR procedures in treatment of liver hydatid cyst in comparison with laparoscopic procedures. The PAIR procedure is superior to laparoscopy due to having a higher cure rate and lower complication and mortality rates; however, the latter has a lower recurrence rate.Massoud SokoutiRamin SadeghiSaeid PashazadehSaeed Eslami Hasan AbadiMohsen SokoutiMorteza GhojazadehBabak SokoutiTermedia Publishing Housearticlelaparoscopyliverhydatid cystechinococcosispairmeta-anlysishydatid cystmeta-analysisMedicineRENArchives of Medical Science, Vol 15, Iss 2, Pp 284-308 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopy liver hydatid cyst echinococcosis pair meta-anlysis hydatid cyst meta-analysis Medicine R
spellingShingle	laparoscopy liver hydatid cyst echinococcosis pair meta-anlysis hydatid cyst meta-analysis Medicine R Massoud Sokouti Ramin Sadeghi Saeid Pashazadeh Saeed Eslami Hasan Abadi Mohsen Sokouti Morteza Ghojazadeh Babak Sokouti A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
description	Introduction There is an academic debate over surgical treatments of liver hydatid cyst disease. In this study, a systematic review and meta-analysis were carried out in order to evaluate the pros and cons of both PAIR (Puncture, Aspiration, Injection, Respiration) and laparoscopic techniques by considering the outcomes of liver hydatid cysts. Material and methods We designed descriptive Boolean queries to search two databases, PubMed and Scopus, to derive the articles published in the period of January 2000 to December 2016 in order to evaluate the outcomes of these research articles. The outcomes of laparoscopic and PAIR procedures include the rates of cure, postoperative complications, recurrences, and mortality, which were extracted, assessed, and used as their corresponding effect sizes. Results Fifty-seven studies including a total of 2832 patients (PAIR group n = 1650 and laparoscopic group = 1182) were analyzed. In this meta-analysis study, a random effect model of correlations of outcomes (postoperative complications, mortalities, recurrences, and cure rates) of PAIR and laparoscopy procedures was used. The meta-analysis and the forest plots of the two procedures show that the PAIR approach is superior in terms of cure, complication, and mortality rates compared with the laparoscopy technique. However, the recurrence rate is low in laparoscopic approaches. Moreover, Egger’s tests for determining publication bias and heterogeneity tests were also performed. Conclusions This study shows promising trends toward an advantage of PAIR procedures in treatment of liver hydatid cyst in comparison with laparoscopic procedures. The PAIR procedure is superior to laparoscopy due to having a higher cure rate and lower complication and mortality rates; however, the latter has a lower recurrence rate.
format	article
author	Massoud Sokouti Ramin Sadeghi Saeid Pashazadeh Saeed Eslami Hasan Abadi Mohsen Sokouti Morteza Ghojazadeh Babak Sokouti
author_facet	Massoud Sokouti Ramin Sadeghi Saeid Pashazadeh Saeed Eslami Hasan Abadi Mohsen Sokouti Morteza Ghojazadeh Babak Sokouti
author_sort	Massoud Sokouti
title	A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
title_short	A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
title_full	A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
title_fullStr	A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
title_full_unstemmed	A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures
title_sort	systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-mums tool: comparing pair and laparoscopic procedures
publisher	Termedia Publishing House
publishDate	2019
url	https://doaj.org/article/82bfd08809084673946e03b1cb0100b5
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A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures

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