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Meta-analysis of pylorus-preserving pancreaticoduodenectomy in the treatment of periampullary adenocarcinoma / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 41-45, 2015.
Article in Chinese | WPRIM | ID: wpr-234962
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy and safety of pylorus-preserving pancreatico-duodenectomy(PPPD) in the treatment of periampullary adenocarcinoma by using Meta-analysis.</p><p><b>METHODS</b>From January 1, 1980 to November 8, 2013, the articles of randomized controlled trials (RCTs) about PPPD versus PD in the treatment of periampullary adenocarcinoma were collected from Cochrane Libriary, Embase, PubMed, Ovid, Web of science and CBM etc. The methodological quality of the included studies was evaluated according to Cochrane system review valuator handbook of risk of bias standards. Meta-analysis was performed by RevMan 5.2 software.</p><p><b>RESULTS</b>Seven RCTs were enrolled in the meta-analysis. Compared to PD group, PPPD group was associated with significantly less intraoperative blood loss (MD=-200.10, 95% CI-400.66 to 0.46, P=0.05), shorter operation time (MD=-46.55, 95% CI-91.02 to -2.07, P=0.04), and less postoperative blood transfusion (MD=-0.89, 95% CI-1.59 to -0.19, P=0.01). There were no significant differences between the PPPD and PD group in pancreatic fistula, biliary fistula, intestinal fistula, abdominal abscess, postoperative bleeding, wound infection, relaparotomy, mortality and survival rate(all P>0.05).</p><p><b>CONCLUSIONS</b>PPPD in the treatment of the periampullary adenocarcinoma is safe and effective with similar survival of PD surgery. PPPD can reduce operative time, intraoperative blood loss, transfusion and does not increase the surgery complications as compared to PD.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pancreatic Neoplasms / Pylorus / Ampulla of Vater / Adenocarcinoma / Randomized Controlled Trials as Topic / Survival Rate / Intestinal Fistula / Pancreatic Fistula / Pancreaticoduodenectomy / Duodenal Neoplasms Type of study: Controlled clinical trial / Practice guideline / Systematic reviews Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pancreatic Neoplasms / Pylorus / Ampulla of Vater / Adenocarcinoma / Randomized Controlled Trials as Topic / Survival Rate / Intestinal Fistula / Pancreatic Fistula / Pancreaticoduodenectomy / Duodenal Neoplasms Type of study: Controlled clinical trial / Practice guideline / Systematic reviews Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2015 Type: Article