Back to Search
Start Over
Stapler vs suture closure of pancreatic remnant after distal pancreatectomy: a meta-analysis
- Source :
-
American Journal of Surgery . Oct2010, Vol. 200 Issue 4, p529-536. 8p. - Publication Year :
- 2010
-
Abstract
- Abstract: 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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00029610
- Volume :
- 200
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- American Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 54106069
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2009.12.022