A meta-analysis on the surgical management of paraganglioma of the carotid body per Shamblin class
A meta-analysis on the surgical management of paraganglioma of the carotid body per Shamblin class
复制标题
DOI：
10.1111/coa.13116
复制
发表时间：
2018-08-01
影响因子：
2.1
通讯作者：
Kunst, H. P. M.
中科院分区：
文献类型：
--
作者：
Jansen, T. T. G.;Marres, H. A. M.;Kunst, H. P. M.
目的：本研究的目的是评估不同 Shamblin 级别的颈动脉体副神经节瘤的不同类型手术的相关风险。进行荟萃分析以评估不同肿瘤类别、颈内动脉 (ICA) 和颈外动脉 (ECA) 结扎、夹紧或绕行技术以及颅尾技术与尾颅技术的不同技术的局部控制、颅神经损伤和并发症发生率。 设计：在 PubMed 和文献中系统检索后进行荟萃分析。 Cochrane 文库，符合 PRISMA 指南。主要结局指标：局部控制、脑神经损伤、并发症、功能恢复。结果：从 3565 篇文章中筛选出 27 篇。研究证据的总体质量较低。脑神经损伤（3%、17% 和 39%）和并发症发生率（0%、1% 和 10%）与 Shamblin 分级（分别为 1 级、2 级和 3 级，P
Objective: The aim of this study was to evaluate the risk associated with different types of surgery for carotid body paraganglioma of different Shamblin class. A meta-analysis was conducted to evaluate per tumour class, the local control, cranial nerve damage and complication rates of different techniques using internal carotid artery (ICA) and external carotid artery (ECA) ligation, clamping or bypassing, as well as the craniocaudal vs caudocranial techniques.Design: A meta-analysis is conducted after a systematic search in PubMed and the Cochrane library, in accordance with the PRISMA guidelines.Main outcome measures: Local control, cranial nerve damage, complications, function recovery.Results: Out of 3565 articles, 27 were selected. The overall quality of evidence of studies was low. Cranial nerve damage (3%, 17% and 39%) and complication rates (0%, 1% and 10%) were significantly related to Shamblin class (class 1, 2 and 3, respectively, P