Does Internal Stenting for Pancreaticojejunostomy Decrease the Rate of Pancreatic Fistula Following Pancreatic Resections? A Meta-Analysis

被引:4
作者
Su, An-Ping [1 ]
Cao, Shuang-Shuang [1 ]
Zhang, Yi [1 ]
Fu, Lan [2 ]
Zhang, Zhao-Da [1 ]
Hu, Wei-Ming [1 ]
Li, Quan-Sheng [3 ]
Tian, Bo-Le [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Hepatobiliopancreat Surg, Chengdu 610041, Sichuan Provinc, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Oncol, Chengdu 610041, Sichuan Provinc, Peoples R China
[3] Sichuan Univ, West China Hosp, Dept Biliary Tract Surg, Chengdu 610041, Sichuan Provinc, Peoples R China
关键词
Internal stenting; Pancreaticojejunostomy; Pancreatic fistula; Meta-analysis; DUCT-TO-MUCOSA; PROSPECTIVE RANDOMIZED-TRIAL; REDUCE LEAKAGE RATE; RISK-FACTORS; IMPROVE OUTCOMES; HEAD RESECTION; PANCREATICODUODENECTOMY; COMPLICATIONS; ANASTOMOSIS; RECONSTRUCTION;
D O I
10.5754/hge12327
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background/Aims: The aim of this study is to evaluate the effectiveness of using an internal stent for pancreaticojejunostomy (PJ) on pancreatic fistula (PF) formation, as well as on the overall outcome for patients undergoing pancreatic resections. Methodology: Articles published until the end of February 2012 comparing internal stenting and no stenting for PI were included. The primary outcome of interest was PF. The secondary outcome of interest included operative time, intra-operative blood loss, overall morbidity hospital mortality and postoperative length of hospital stay. Results: Five articles were identified for inclusion. The meta-analysis revealed that internal stenting for PJ was not associated with a statistically significant reduction in PP rate (OR 1.03; 95% CI=0.70 to 1.51; p=0.88). Patients with soft pancreas had higher PF rate in stenting group, but the difference was not significant (OR=1.71; 95% CI=0.95 to 3.10; p=0.083. There was no significant difference between the two groups in operative time, intra-operative blood loss, overall morbidity hospital mortality and postoperative length of hospital stay. Conclusions: The current literature suggests that internal stenting for PJ following pancreatic resections does not decrease the rate of pancreatic fistula or alter overall patient's outcome.
引用
收藏
页码:191 / 196
页数:6
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