Benefits of Hypothermic Oxygenated Perfusion Versus Static Cold Storage in Liver Transplant: A Comprehensive Systematic Review and Meta-analysis

作者全名："Feng, Guo-Ying; Feng, Xu; Tao, Jie; Ao, Yu-Pei; Wu, Xin-Hua; Qi, Shi-Guai; He, Ze -Bo; Shi, Zheng-Rong"

作者地址："[Feng, Guo-Ying; Feng, Xu; Tao, Jie; Wu, Xin-Hua; Qi, Shi-Guai; Shi, Zheng-Rong] Chongqing Med Univ, Affiliated Hosp 1, Dept Hepatobiliary Surg, Chongqing, Peoples R China; [Feng, Guo-Ying] Army Med Univ, Daping Hosp, Dept Hepatobiliary Surg, Chongqing, Peoples R China; [Ao, Yu-Pei] Chongqing Med Univ, Affiliated Hosp 2, Infect & Liver Dis Ctr, Chongqing, Peoples R China; [He, Ze -Bo] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Dept Gen Surg,Key Lab Child Dev & Diso, Chongqing, Peoples R China"

通信作者："Shi, ZR (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Hepatobiliary Surg, Chongqing, Peoples R China."

来源：JOURNAL OF CLINICAL AND EXPERIMENTAL HEPATOLOGY

ESI学科分类：　

WOS号：WOS:001157988500001

JCR分区：Q2

影响因子：3

年份：2024

卷号：14

期号：3

开始页：　

结束页：　

文献类型：Review

关键词：hypothermic oxygenated machine perfusion; liver transplantation; static cold storage; meta-analysis; donation after cardiac death

摘要："Background: The magnitude of potential benefits that hypothermic oxygenated perfusion (HOPE) may provide for liver transplantation (LT) patients compared to static cold storage (SCS) remains uncertain. In this systematic review and meta-analysis, we aimed to investigate the therapeutic effect that HOPE can offer LT recipients relative to SCS by synthesizing available evidence. Methods: A literature search was conducted in Embase, Medline, Web of Science, and the Cochrane database up to 1 June, 2023. The included studies were pooled for meta-analysis to synthesize their findings. Subgroup analysis was performed to investigate potential differences between HOPE and SCS for specific subgroups. Results: A total of 11 studies comprising 1765 patients were included. Compared with SCS, HOPE was associated with a significant reduction in the incidence of early allograft dysfunction (EAD) (OR: 0.36, 95% CI: 0.26-0.50), as well as a noteworthy decrease in graft loss rate within one year (OR: 0.57, 95% CI: 0.33-0.97) and a lower occurrence of Clavien-Dindo grade IIIa or higher complications (OR: 0.62, 95% CI: 0.43-0.89). Subgroup analysis revealed that HOPE significantly reduced the one-year mortality rate, any biliary complications incidence, and acute rejection of transplanted liver rate in patients who received organs from donation after cardiac death (DCD). Conclusions: HOPE has demonstrated efficacy in reducing the incidence of EAD after LT and shows some potential in diminishing postoperative complications such as biliary complications and acute rejection. This ultimately leads to improved patient prognosis, particularly among those receiving DCD grafts."

基金机构：[Establishment and application of a predictive model for the prevention and treatment of recurrence after resection of hepatocellular carcinoma] [2020GDRC002]; [ZHYX202222]

基金资助正文：This work was supported by [Young and Middle-aged High-end Talents Program of Medical Research Program of Chongqing Health and Family Planning Commission] (2020GDRC002) and [Establishment and application of a predictive model for the prevention and treatment of recurrence after resection of hepatocellular carcinoma] (ZHYX202222).r (2020GDRC002) and [Establishment and application of a predictive model for the prevention and treatment of recurrence after resection of hepatocellular carcinoma] (ZHYX202222) .