期刊
INTERNATIONAL JOURNAL OF SURGERY
卷 12, 期 12, 页码 1444-1449出版社
ELSEVIER
DOI: 10.1016/j.ijsu.2014.10.024
关键词
Pancreaticodudenectomy; Pancreatogastrostomy; Pancreaticojejunostomy; Reconstruction; Pancreatic fistula; Meta-analysis
类别
Background and aims: Reconstruction of digestive tract after pancreaticodudenectomy now has been proved associated with pancreatic fistula and complication incidence. The meta-analysis was conducted at the appropriate time enough randomized controlled trials were reported. Methods: Systematically literature search was performed through PubMed, EMBASE and Cochrane Library database without restriction to regions, or languages, only randomized controlled trials was included. 7 studies compared pancreatogastrostomy with pancreaticojejunostomy were included for meta-analysis. Fixed and random-effects models were used to measure the pooled estimates. Results: Patient underwent pancreatogastrostomy after pancreatoduodenectomy suffered less pancreatic fistula(p = 0.001) and bile leakage (p = 0.02), while the operative time, hospital stay, delayed gastric emptying and overall morbidity were comparable. Conclusion: Pancreatogastrostomy is a recommended anastomosis technique according to the meta-analysis due to minimize incidence of pancreatic fistula and bile leakage. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
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