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 includedNumber of studies includedParticipantsOdds ratio [95% confidence intervals]Statistical significanceHeterogeneity (Higgins' I2)

One-year survival

All44250.08 [0.01, 0.47]Significant75.1%

Three-year survival

All99380.15 [0.08, 0.26]Significant7.9%
Microscopic node involvement32320.24 [0.11, 0.55]Significant0%
Routine lymphadenectomy78320.13 [0.06, 0.28]Significant27.3%
Hepatoduodenal ligament only34300.24 [0.11, 0.55]Significant0%
Hepatic pedicle44020.20 [0.10, 0.39]Significant0%
Adjuvant chemotherapy21770.10 [0.01, 1.03]Not significant63.5%
Published before 200076220.09 [0.04, 0.18]Significant1.8%
Published after 200023160.17 [0.05, 0.57]Significant46.1%

Five-year survival

All79040.10 [0.04, 0.27]Significant0%
Microscopic node involvement22200.14 [0.03, 0.72]Significant0%
Routine lymphadenectomy68100.09 [0.03, 0.24]Significant0%
Hepatoduodenal ligament only34300.09 [0.02, 0.38]Significant0%
Hepatic pedicle33800.08 [0.02, 0.34]Significant0%
Adjuvant chemotherapy11550.05 [0.00, 0.81]SignificantNot applicable
Published before 200055880.09 [0.03, 0.29]Significant0%
Published after 200023160.07 [0.01, 0.38]Significant0%

One-year disease-free survival

All1940.24 [0.05, 1.15]Not significantNot applicable

Three-year disease-free survival

All1940.10 [0.01, 1.78]Not significantNot applicable

Five-year disease-free survival

All1940.15 [0.01, 2.81]Not significantNot applicable

Random-effects model as there was statistical heterogeneity.