Meta-analysis of pancreaticogastrostomy versus pancreaticojejunostomy on occurrences of postoperative pancreatic fistula after pancreaticoduodenectomy

Autor: Yanming Zhou, Jianhua Yu, Lupeng Wu, Bin Li
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Asian Journal of Surgery, Vol 38, Iss 3, Pp 155-160 (2015)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2015.02.002
Popis: Background/Objective: Pancreatic fistula (PF) is the most common and challenging complication after pancreaticoduodenectomy (PD). This meta-analysis aimed to evaluate the impact of pancreaticogastrostomy (PG) versus pancreaticojejunostomy (PJ) on occurrences of postoperative PF. Methods: A systematic literature search in the Medline, EMBASE, OVID, and Cochrane databases was performed to identify all eligible randomized controlled trials (RCTs). Pooled estimates were presented with 95% confidence intervals (CI). Results: Six RCTs involving 1005 patients met the inclusion criteria. The incidence of PF [odds ratio (OR) 0.58, 95% CI, 0.42–0.81; p = 0.001], intra-abdominal abscess or collections (OR 0.43, 95% CI, 0.28–0.65; p
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