Roux-en-Y versus Billroth Ⅱ alimentary canal reconstruction after pancreaticoduodenectomy: a meta-analysis / 中华肝胆外科杂志
Chinese Journal of Hepatobiliary Surgery
; (12): 470-475, 2018.
Article
em Zh
| WPRIM
| ID: wpr-708443
Biblioteca responsável:
WPRO
ABSTRACT
Objective To study the effectiveness and safety comparing Roux-en-Y versus Billroth Ⅱ alimentary canal reconstruction after pancreaticoduodenectomy (PD).Methods A computer search was conducted on PubMed,Embase,Web of Science,Science Direct,Springer Link,Cochrane Center,CBM,CNKI,Wan Fang and VIP databases before September 2017 for all RCT and CCT articles on Roux-en-Y versus Billroth Ⅱ reconstruction after PD.The quality of the included trials was studied by assessing the inclusive and exclusive criteria (the PRISMA statement) by 2 researchers independently.The data were extracted and analyzed using the RevManS.3 software.Results 9 articles (3 RCTs,6 CCTs) which involved 1 599 patients (563 Roux-en-Y patients,1 036 Billroth Ⅱ patients) were studied.Meta analysis revealed that Billroth Ⅱ patients had a lower postoperative delayed gastric emptying (DGE,grades B,C) rate (OR =3.76,95% CI:1.32 ~ 10.68,P < 0.05) and a shorter operation time (WMD =32.75,95% CI:8.17 ~57.33,P < 0.05) than Roux-en-Y patients.There were no significant differences in the rates of postoperative delayed gastric emptying (grades A,B,C),pancreatic fistula,bile leak,postoperative hemorrhage,reoperation,postoperative complications and the duration of postoperative stay (P > 0.05).Conclusions The incidence of DGE (grades B,C) after PD was lower after Billroth Ⅱ than that of Roux-en-Y reconstruction.Large prospective randomized controlled trials are needed to confirm the findings of this meta-analysis.
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Índice:
WPRIM
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Idioma:
Zh
Revista:
Chinese Journal of Hepatobiliary Surgery
Ano de publicação:
2018
Tipo de documento:
Article