作者
Raghunandan Venkat, Barish H Edil, Richard D Schulick, Anne O Lidor, Martin A Makary, Christopher L Wolfgang
发表日期
2012/6/1
来源
Annals of surgery
卷号
255
期号
6
页码范围
1048-1059
出版商
LWW
简介
Objective:
To compare laparoscopic distal pancreatectomy (LDP) versus open distal pancreatectomy (ODP) by using meta-analytical techniques.
Background:
LDP is increasingly performed as an alternative approach for distal pancreatectomy in selected patients. Multiple studies have tried to assess the safety and efficacy of LDP compared with ODP.
Methods:
A systematic review of the literature was performed to identify studies comparing LDP and ODP. Intraoperative outcomes, postoperative recovery, oncologic safety, and postoperative complications were evaluated. Meta-analysis was performed using a random-effects model.
Results:
Eighteen studies matched the selection criteria, including 1814 patients (43% laparoscopic, 57% open). LDP had lower blood loss by 355 mL (P< 0.001) and hospital length of stay by 4.0 days (P< 0.001). Overall complications were significantly lower in the laparoscopic group (33.9 …
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R Venkat, BH Edil, RD Schulick, AO Lidor, MA Makary… - Annals of surgery, 2012