laparoscopic-anatomical-resection-right-anterior-lobe-based-on

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

This paper presents a laparoscopic anatomical resection technique for hepatocellular carcinoma (HCC) utilizing the Laennec capsule concept. The goal of ...

intraoperative-strategy-under-complex-vascular-adhesion-for

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Perihilar cholangiocarcinoma (pCCA) is a highly challenging malignancy, often requiring extensive hepatic resection to achieve curative treatment. This ...

Bin Hai Wan Central Hospital of Dongguan

Thyroid nodules represent a prevalent clinical condition, with the majority being benign. Microwave ablation (MWA) has emerged as a minimally invasive alternative to surgery, yet volume reduction rate (VRR) outcomes following MWA exhibit substantial heterogeneity. This meta-analysis aimed to identify multifactorial predictors of VRR in patients with benign thyroid nodules undergoing MWA. A systematic search was conducted across PubMed, Web of Science, Embase, Cochrane Library and Scopus from inception to July 2025. Sixteen studies involving 2321 patients met the inclusion criteria and reported VRR outcomes stratified by preprocedural characteristics. Pooled odds ratios (OR) and mean differences (MD) were calculated for binary and quantitative outcomes, respectively, with methodological quality assessed via Newcastle-Ottawa Scale (NOS). Cystic nodules showed significantly better treatment response than solid lesions (MD in VRR: 20.38%, 95% confidence intervals [CI]: 13.28%-27.48%). Larger nodule size was associated with reduced procedural success (OR 0.25, 95% CI 0.14-0.43), and hyperechoic nodules had lower success rates compared to hypoechoic ones (OR 0.34, 95% CI 0.21-0.56). No significant associations were observed for age, sex, calcification, margin or enhancement features. Most studies were high-quality (mean NOS score: 7.7/9). In conclusion, nodule composition, size and echogenicity are key MWA efficacy determinants, with cystic and hypoechoic nodules achieving optimal VRR, while large size reduces treatment success. These predictors facilitate evidence-based patient selection and underscore the need for standardized classification criteria.

ArticleTotal : 2	Year
Publication title Cited by 1	2025
Publication title	2026

ShuWen Lin

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