肝动脉输液化疗作为不可切除胆管癌的第一线治疗:系统性审查和元分析
Noah Brown1, Abigail J Alexander1, Rashid M Muhammed2
1Department of Surgery, Division of General Surgery, University of Utah Health, Salt Lake City, Utah, USA.
Journal of surgical oncology
|January 27, 2026
概括
肝动脉输液化疗 (HAIC) 改善了胆管癌患者的生存率. 这一元分析表明,HAIC在晚期疾病中提供了比单独的全身化疗更好的结果.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 医学瘤学 医学瘤学
背景情况:
- 肝动脉输液化疗 (HAIC) 正在探索局部晚期胆管癌.
- 关于HAIC疗效的现有数据仅限于小型研究.
- 在这个患者群体中HAIC的有效性需要进一步定义.
研究的目的:
- 评估HAIC在局部晚期胆管癌的疗效.
- 为了确定HAIC与全身化疗相比的生存益处.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,ClinicalTrials.gov,WHO临床试验) 进行了系统的文献搜索,直到2024年8月.
- 包括15项研究,588名患者符合预先定义的标准.
- 进行了元分析,以确定聚合的生存结果.
主要成果:
- 对15项研究 (588名患者) 的分析显示了显著的疗效.
- 目标响应率:2.5%的完全响应 (CR),38.1%的部分响应 (PR),43.4%的稳定疾病 (SD).
- 聚合的中位数总生存时间为18.3个月;无进展生存时间为10.0个月.
结论:
- HAIC显示,胆管癌患者的生存结果有所改善.
- HAIC是第一线全身化疗的可行替代品或辅助.
- 这一元分析支持HAIC在治疗晚期胆管癌中的作用.
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