Review Article
Management of the Hepatic Lymph Nodes during Resection of Liver Metastases from Colorectal Cancer: A Systematic Review
Table 4
Results of meta-analysis.
| Studies included | Number of studies included | Participants | Odds ratio [95% confidence intervals] | Statistical significance | Heterogeneity (Higgins' I2) |
| One-year survival | | | | | |
| All | 4 | 425 | 0.08 [0.01, 0.47]† | Significant | 75.1% |
| Three-year survival | | | | | |
| All | 9 | 938 | 0.15 [0.08, 0.26] | Significant | 7.9% | Microscopic node involvement | 3 | 232 | 0.24 [0.11, 0.55] | Significant | 0% | Routine lymphadenectomy | 7 | 832 | 0.13 [0.06, 0.28]† | Significant | 27.3% | Hepatoduodenal ligament only | 3 | 430 | 0.24 [0.11, 0.55] | Significant | 0% | Hepatic pedicle | 4 | 402 | 0.20 [0.10, 0.39] | Significant | 0% | Adjuvant chemotherapy | 2 | 177 | 0.10 [0.01, 1.03]† | Not significant | 63.5% | Published before 2000 | 7 | 622 | 0.09 [0.04, 0.18] | Significant | 1.8% | Published after 2000 | 2 | 316 | 0.17 [0.05, 0.57]† | Significant | 46.1% |
| Five-year survival | | | | | |
| All | 7 | 904 | 0.10 [0.04, 0.27] | Significant | 0% | Microscopic node involvement | 2 | 220 | 0.14 [0.03, 0.72] | Significant | 0% | Routine lymphadenectomy | 6 | 810 | 0.09 [0.03, 0.24] | Significant | 0% | Hepatoduodenal ligament only | 3 | 430 | 0.09 [0.02, 0.38] | Significant | 0% | Hepatic pedicle | 3 | 380 | 0.08 [0.02, 0.34] | Significant | 0% | Adjuvant chemotherapy | 1 | 155 | 0.05 [0.00, 0.81] | Significant | Not applicable | Published before 2000 | 5 | 588 | 0.09 [0.03, 0.29] | Significant | 0% | Published after 2000 | 2 | 316 | 0.07 [0.01, 0.38] | Significant | 0% |
| One-year disease-free survival | | | | | |
| All | 1 | 94 | 0.24 [0.05, 1.15] | Not significant | Not applicable |
| Three-year disease-free survival | | | | | |
| All | 1 | 94 | 0.10 [0.01, 1.78] | Not significant | Not applicable |
| Five-year disease-free survival | | | | | |
| All | 1 | 94 | 0.15 [0.01, 2.81] | Not significant | Not applicable |
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†Random-effects model as there was statistical heterogeneity.
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