|A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy|
|Lu Wen-ping1; Shi Qing2; Zhang Wen-zhi1; Cai Shou-wang1; Jiang Kai1; Dong Jia-hong1|
|关键词||chronic pancreatitis surgical treatments long-term postoperative effect meta-analysis|
|刊名||CHINESE MEDICAL JOURNAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Medicine, General & Internal|
|研究领域[WOS]||General & Internal Medicine|
|关键词[WOS]||WHIPPLE PROCEDURE ; RANDOMIZED-TRIAL ; FOLLOW-UP ; BEGER ; PRESERVATION ; EXPERIENCE ; DRAINAGE ; FREY|
Background Surgery is regarded as the most effective treatment to relieve pain and reduce complications in chronic pancreatitis (CP). Two major strategies exist: duodenum-preserving pancreatic head resection (DPPHR) and pancreatoduodenectomy (PD). Many studies suggest that DPPHR offers advantages during surgery and in the short-term; however, the long-term effects have not been thoroughly investigated. We analyzed the long-term outcomes of DPPHR and PD, over follow-up times of at least 1 year, to determine the optimal surgical treatment for CP.
Methods We systemically reviewed all CP surgical treatment reports, and only included randomized controlled trials (RCT) comparing DPPHR and PD, excluding unqualified studies using several pre-specified criteria. When multiple publications of a single trial were found, the most comprehensive current data were selected. Characteristics of the study populations and long-term postoperative outcome parameters were collected. The quality of the studies and data was analyzed using RevMan 4.2 software.
Results Five trials were qualified for meta-analysis, with 261 participants in total (114 in the DPPHR group and 147 in the PD group). There were no significant differences in the age, gender, or indications for surgery of each group. At the mean of 5.7-year (1-14 years) follow-up examination, DPPHR and PD resulted in equally effective pain relief, exocrine and endocrine function, and similar mortality rates (P > 0.05); however, DPPHR patients had improved global quality of life and weight gain, and reduced diarrhea and fatigue (P < 0.05).
Conclusion DPPHR and PD result in equal pain relief, mortality, and pancreatic function; however, DPPHR provides superior long-term outcomes.
|作者单位||1.Chinese Peoples Liberat Army Gen Hosp, Dept Hepatobiliary Surg, Beijing 100853, Peoples R China|
2.Peking Univ, Hlth Sci Ctr, Dept Microbiol, Beijing 100191, Peoples R China
|Lu Wen-ping,Shi Qing,Zhang Wen-zhi,et al. A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy[J]. CHINESE MEDICAL JOURNAL,2013,126(1):147-153.|
|APA||Lu Wen-ping,Shi Qing,Zhang Wen-zhi,Cai Shou-wang,Jiang Kai,&Dong Jia-hong.(2013).A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy.CHINESE MEDICAL JOURNAL,126(1),147-153.|
|MLA||Lu Wen-ping,et al."A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy".CHINESE MEDICAL JOURNAL 126.1(2013):147-153.|
|A meta-analysis of t（477KB）||期刊论文||出版稿||开放获取||CC BY-NC-SA||浏览 请求全文|