Stapler vs suture closure of pancreatic remnant after distal pancreatectomy: a meta-analysis
Background - Suture closure and stapler closure of the pancreatic remnant after distal pancreatectomy are the techniques used most often. The ideal choice remains a matter of debate. - Methods - Five bibliographic databases covering 1970 to July 2009 were searched. - Results - Sixteen articles met t...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
October 2010
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| In: |
The American journal of surgery
Year: 2010, Volume: 200, Issue: 4, Pages: 529-536 |
| ISSN: | 1879-1883 |
| DOI: | 10.1016/j.amjsurg.2009.12.022 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.amjsurg.2009.12.022 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0002961010001765 
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| Author Notes: | Wei Zhou, Ran Lv, Xianfa Wang, Yiping Mou, Xiujun Cai, Ingrid Herr |
| Summary: | Background - Suture closure and stapler closure of the pancreatic remnant after distal pancreatectomy are the techniques used most often. The ideal choice remains a matter of debate. - Methods - Five bibliographic databases covering 1970 to July 2009 were searched. - Results - Sixteen articles met the inclusion criteria. Stapler closure was performed in 671 patients, while suture closure was conducted in 1,615 patients. The pancreatic fistula rate ranged from 0% to 40.0% for stapler closure of the pancreatic stump and from 9.3% to 45.7% for the suture closure technique. There were no significant difference between the stapler and suture closure groups with respect to the pancreatic fistula formation rate (22.1% vs 31.2%; odds ratio, .85; 95% confidence interval, .66-1.08), although there was a trend toward favoring stapler closure. In 4 studies including 437 patients, stapler closure was associated with a trend (not statistically significant) toward a reduction in intra-abdominal abscess (odds ratio, .53; 95% confidence interval, .24-1.15). - Conclusions - No significant differences occur between suture and stapler closure with respect to the pancreatic fistula or intra-abdominal abscess after distal pancreatectomy, though there is a trend favoring stapler closure. |
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| Item Description: | Gesehen am 09.02.2024 |
| Physical Description: | Online Resource |
| ISSN: | 1879-1883 |
| DOI: | 10.1016/j.amjsurg.2009.12.022 |