Laparoscopic distal pancreatectomy is as safe and feasible as open procedure:A meta-analysis

作     者：Kun Xie Yi-Ping Zhu Xiao-Wu Xu Ke Chen Jia-Fei Yan Yi-Ping Mou 

作者机构：Department of General SurgerySir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhou 310016Zhejiang ProvinceChina 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2012年第18卷第16期

页      面：1959-1967页

核心收录：

学科分类：090603[农学-临床兽医学] 0831[工学-生物医学工程（可授工学、理学、医学学位）] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 08[工学] 09[农学] 0906[农学-兽医学] 10[医学] 

基　　金：Supported by The key project grant from the Science and Technology Department of Zhejiang Province No.2011C13036-2 

主　　题：Laparoscopy Distal pancreatectomy Pancreatic fistula Spleen-preserving Morbidity 

摘      要：AIM:To evaluate the feasibility and safety of laparoscopic distal pancreatectomy(LDP) compared with open distal pancreatectomy(ODP).METHODS:Meta-analysis was performed using the databases,including PubMed,the Cochrane Central Register of Controlled Trials,Web of Science and BIOSIS *** should contain quantitative data of the comparison of LDP and *** article was reviewed by two *** of operative time,spleen-preserving rate,time to fluid intake,ratio of malignant tumors,postoperative hospital stay,incidence rate of pancreatic fistula and overall morbidity rate were ***:Nine articles with 1341 patients who underwent pancreatectomy met the inclusion *** was performed in 501(37.4%) patients,while ODP was performed in 840(62.6%) *** were significant differences in the operative time,time to fluid intake,postoperative hospital stay and spleen-preserving rate between LDP and *** was no difference between the two groups in pancreatic fistula rate [random effects model,risk ratio(RR) 0.996(0.663,1.494),P = 0.983,I2 = 28.4%] and overall morbidity rate [random effects model,RR 0.81(0.596,1.101),P = 0.178,I2 = 55.6%].CONCLUSION:LDP has the advantages of shorter hospital stay and operative time,more rapid recovery and higher spleen-preserving rate as compared with ODP.