Efficacy and safety of transhepatic arterial chemoembolization with drug-loaded microspheres in unresectable primary liver cancer  

作　　者：Jun Deng Yan-Hong Mi Le Xie Xiong-Xing Sun Dan-Hong Liu Hua-Jun Long Li-Yong He Da-Hua Wu Hong-Cai Shang 

机构地区：[1]Department of Integrated Traditional Chinese and Western Medicine,Hunan University of Traditional Chinese Medicine,Changsha 410208,Hunan Province,China [2]Department of Neurology,Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Changsha 410208,Hunan Province,China [3]Department of Prevention Diseases,Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Changsha 410006,Hunan Province,China [4]Institute of Clinical Pharmacology of Traditional Chinese Medicine,Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Changsha 410006,Hunan Province,China [5]Department of Emergency,Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Changsha 410006,Hunan Province,China [6]Department of Hepatobiliary Surgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510062,Guangdong Province,China [7]State Key Laboratory of Internal Medicine of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100700,China

出　　处：《World Journal of Gastrointestinal Oncology》2024年第12期4728-4737,共10页世界胃肠肿瘤学杂志（英文）

基　　金：Supported by Scientific Research project of Hunan Provincial Health Commission,No.B202303077689;Hunan Natural Science Foundation Project,No.2023JJ40397.

摘　　要：BACKGROUND Transhepatic arterial chemoembolization(TACE),as a local treatment,has been widely used in the treatment of unresectable liver cancer.The introduction of drug carrier microspheres has brought new hope for the therapeutic effect of TACE.Microspheres can realize the slow release and directional delivery of drugs,reduce systemic toxicity and improve local curative effect.AIM To compare the effectiveness of traditional transcatheter arterial chemoembolization against microsphere-assisted transcatheter arterial chemoembolization in the treatment of hepatocellular carcinoma that is incurable.METHODS We searched the PubMed,Embase,Cochrane Library,and CNKI databases for clinical trials of drug-luting beads TACE(DEB-TACE)vs conventional TACE(cTACE)for the treatment of unresectable liver cancer.We screened references based on inclusion and exclusion criteria and then selected valid data for meta-analysis using RevMan 53 software.The complete response(CR)rate,partial response(PR)rate,postoperative stable disease(SD)rate,and 6-month and 12-month survival rates were compared.RESULTS A total of 12 articles were included,including 1177 patients,519 of whom received DEB-TACE and 658 of whom received cTACE.The CR rate in the DEB-TACE group was much greater than that in the cTACE group[relative risk(RR)=1.42,95%CI:1.18-1.72,P=0.0002].The 12-month survival rate significantly increased(RR=1.09;95%CI:1.01-1.17,P=0.03);the PR rate(RR=1.13;95%CI:0.97-1.30,P=0.12);the SD rate(RR=0.82;95%CI:0.64-1.05,P=0.12);and the 6-month survival rate(RR=1.05;95%CI:1.00-1.10,P=0.07).There was no significant difference(P<0.05).CONCLUSION Compared with those of iodized oil TACE,the drug-loaded microspheres tended to have therapeutic advantages.

关 键 词：Transhepatic arterial chemoembolization Drug-loaded microspheres Unresectable primary liver cancer Metaanalysis 

分 类 号：R735.7[医药卫生—肿瘤]