Laparoscopic liver resection for pediatric liver tumors: a systematic review and meta-analysis.
Laparoscopic liver resection cut hospital stay by nearly 3 days versus open surgery
Laparoscopic liver resection for pediatric liver tumors: a systematic review and meta-analysis.
To evaluate the safety and feasibility of laparoscopic liver resection (laparoscopic liver resection) for pediatric liver tumors.
We systematically searched PubMed, Web of Science, Cochrane Library, Embase, and Chinese databases (CNKI, WanFang, VIP) for studies on laparoscopic liver resection for pediatric liver tumors.
The pooled mean maximum tumor diameter was 5.69 cm (95% CI: 4.85-6.53).
Mean operative time was 208.77 min (95% CI: 153.74-263.80), and intraoperative blood loss 88.80 mL (95% CI: 31.33-146.27).
The hepatoblastoma recurrence proportion was 9% (95% CI: 5%-19%).
Intraoperative blood loss did not differ significantly between groups ( p = 0.7138).
Laparoscopic liver resection appears safe and feasible for pediatric liver tumors in selected patients.
Limited evidence and heterogeneous patient selection warrant propensity score matching and multicenter prospective studies to establish surgical indications and long-term oncologic outcomes.