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Systematic review and meta-analysis: Cholecystectomy and the risk of cholangiocarcinoma
Xiong,Jianping1; Wang,Yaqin2; Huang,Hanchun1; Bian,Jin1; Wang,Anqiang1; Long,Junyu1; Zheng,Ying3; Sang,Xinting1; Xu,Yiyao1; Lu,Xin1; Zhao,Haitao1
2017
Source PublicationOncotarget
Volume8Issue:35Pages:59648-59657
Abstract

Studies have reported that cholecystectomy may increase the risk of cholangiocarcinoma. However, this association is controversial. Thus, we conducted a systematic review and meta-analysis to explore the relationship between cholecystectomy and the risk of cholangiocarcinoma. Relevant studies were identified by searching PubMed, EMBASE, ISI Web of Science published before February 2017. We used the random effects model proposed by DerSimonian and Laird to quantify the relationship between cholecystectomy and risk of cholangiocarcinoma. Publication bias was evaluated using funnel plots, Begg's and Egger's tests. Subgroup and sensitivity analyses were performed to validate the stability of the results. 16 articles, comprising 220,376 patients with cholecystectomy and 562,392 healthy controls, were included in our research. Our meta-analysis suggested that the risk of cholangiocarcinoma was significantly higher in the cholecystectomized patients in comparison with healthy controls, with heterogeneity among studies (summary odds ratio [OR] = 0.72; confidence interval [CI] = 0.55-0.90; I = 69.5%). Additionally, this association was also observed in cohort studies (OR = 0.83; 95% CI = 0.73-0.94) and case-control studies (OR = 0.60; 95% CI = 0.40-0.80). However, When the intrahepatic cholangiocarcinoma and extrahepatic cholangiocarcinoma were analyzed separately, the present study only indicated cholecystectomy was associated with increased the risk of extrahepatic cholangiocarcinoma (OR = 1.19; 95% CI = 0.32-2.05), rather than intrahepatic cholangiocarcinoma (OR = 1.19; 95% CI = 0.32-2.05). In conclusion, cholecystectomy was associated with a significant 54% increase in the risk of cholangiocarcinoma, especially in the extrahepatic cholangiocarcinoma.

KeywordBiliary Tract Neoplasms Cholangiocarcinoma Cholecystectomy Cholecystolithiasis Meta-analysis
DOI10.18632/oncotarget.19570
URLView the original
Language英語English
WOS IDWOS:000408941900143
Scopus ID2-s2.0-85029095446
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Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorXu,Yiyao
Affiliation1.Department of Liver Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS and PUMC),Beijing,China
2.Department of Interventional Radiology,The First Affiliated Hospital of China Medical University,Shenyang,China
3.State Key Laboratory of Quality Research in Chinese Medicine,Institute of Chinese Medical Science,University of Macau,Macau SAR,Macao
Recommended Citation
GB/T 7714
Xiong,Jianping,Wang,Yaqin,Huang,Hanchun,et al. Systematic review and meta-analysis: Cholecystectomy and the risk of cholangiocarcinoma[J]. Oncotarget, 2017, 8(35), 59648-59657.
APA Xiong,Jianping., Wang,Yaqin., Huang,Hanchun., Bian,Jin., Wang,Anqiang., Long,Junyu., Zheng,Ying., Sang,Xinting., Xu,Yiyao., Lu,Xin., & Zhao,Haitao (2017). Systematic review and meta-analysis: Cholecystectomy and the risk of cholangiocarcinoma. Oncotarget, 8(35), 59648-59657.
MLA Xiong,Jianping,et al."Systematic review and meta-analysis: Cholecystectomy and the risk of cholangiocarcinoma".Oncotarget 8.35(2017):59648-59657.
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