Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review
Summary: Endoscopic ultrasound-guided drainage (EUSD) and percutaneous drainage (PD) have reportedly been used for postoperative pancreatic fluid collection (PFC). However, there is limited evidence regarding safety and efficacy in a comparison of EUSD and PD for postoperative PFC. We conducted a se...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958421006229 |
| _version_ | 1811238415319957504 |
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| author | Liang Chen Ting Li Bin Wang Yunxiao Cheng Sicong Zhao Yunxiao Lyu |
| author_facet | Liang Chen Ting Li Bin Wang Yunxiao Cheng Sicong Zhao Yunxiao Lyu |
| author_sort | Liang Chen |
| collection | DOAJ |
| description | Summary: Endoscopic ultrasound-guided drainage (EUSD) and percutaneous drainage (PD) have reportedly been used for postoperative pancreatic fluid collection (PFC). However, there is limited evidence regarding safety and efficacy in a comparison of EUSD and PD for postoperative PFC. We conducted a search of the databases PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov, to August 2020. Studies comparing EUSD and PD for postoperative PFC were included. The outcomes included technical success, clinical success, adverse events, and recurrence of PFC.We included a total of 6 studies involving 247 patients in the current study. There was no significant difference between EUSD and PD in terms of technical success (odds ratio [OR] = 0.95; 95% confidence interval [CI]: 0.29–3.12; p = 0.94) and clinical success (OR = 1.36; 95% CI: 0.68–2.72; p = 0.39). PFC recurrence and adverse events were similar between the two groups (OR = 1.82; 95% CI: 0.75–4.37; p = 0.18 and OR = 0.78; 95% CI: 0.31–1.92; p = 0.58, respectively).This meta-analysis confirmed that EUSD has comparable safety and efficacy to PD for postoperative PFC. Additional high-quality studies are required in the future. |
| first_indexed | 2024-04-12T12:42:32Z |
| format | Article |
| id | doaj.art-2870f1c87b7f4afdb75eed7e4725f918 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-04-12T12:42:32Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-2870f1c87b7f4afdb75eed7e4725f9182022-12-22T03:32:45ZengElsevierAsian Journal of Surgery1015-95842022-08-0145815191524Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic reviewLiang Chen0Ting Li1Bin Wang2Yunxiao Cheng3Sicong Zhao4Yunxiao Lyu5Department of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR ChinaDepartment of the Human, Wenzhou Medical University Affiliated Dongyang Hospital; Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR ChinaDepartment of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR ChinaDepartment of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR ChinaDepartment of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR ChinaDepartment of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang People's Hospital, Dongyang, Zhejiang, 322100, PR China; Corresponding author. Department of Hepatobiliary Surgery, Wenzhou Medical University Affiliated Dongyang Hospital; Dongyang People's Hospital, Dongyang, 60 West Wuning Road, Dongyang, Zhejiang, 322100, PR China.Summary: Endoscopic ultrasound-guided drainage (EUSD) and percutaneous drainage (PD) have reportedly been used for postoperative pancreatic fluid collection (PFC). However, there is limited evidence regarding safety and efficacy in a comparison of EUSD and PD for postoperative PFC. We conducted a search of the databases PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov, to August 2020. Studies comparing EUSD and PD for postoperative PFC were included. The outcomes included technical success, clinical success, adverse events, and recurrence of PFC.We included a total of 6 studies involving 247 patients in the current study. There was no significant difference between EUSD and PD in terms of technical success (odds ratio [OR] = 0.95; 95% confidence interval [CI]: 0.29–3.12; p = 0.94) and clinical success (OR = 1.36; 95% CI: 0.68–2.72; p = 0.39). PFC recurrence and adverse events were similar between the two groups (OR = 1.82; 95% CI: 0.75–4.37; p = 0.18 and OR = 0.78; 95% CI: 0.31–1.92; p = 0.58, respectively).This meta-analysis confirmed that EUSD has comparable safety and efficacy to PD for postoperative PFC. Additional high-quality studies are required in the future.http://www.sciencedirect.com/science/article/pii/S1015958421006229Endoscopic ultrasound-guided drainagePercutaneous drainagePostoperative pancreatic collectionSystematic reviewMeta-analysis |
| spellingShingle | Liang Chen Ting Li Bin Wang Yunxiao Cheng Sicong Zhao Yunxiao Lyu Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review Asian Journal of Surgery Endoscopic ultrasound-guided drainage Percutaneous drainage Postoperative pancreatic collection Systematic review Meta-analysis |
| title | Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review |
| title_full | Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review |
| title_fullStr | Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review |
| title_full_unstemmed | Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review |
| title_short | Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review |
| title_sort | endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery an up to date meta analysis and systematic review |
| topic | Endoscopic ultrasound-guided drainage Percutaneous drainage Postoperative pancreatic collection Systematic review Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S1015958421006229 |
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