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Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis

OBJECTIVE: This study aimed to compare the effect of passive drainage and active suction drainage on complications after pancreatectomy. METHODS: The databases were searched and covered in this study on the comparison of passive and active suction drainage after pancreatectomy from the database esta...

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Autores principales: Xinyang, Zhou, Taoying, Lei, Xuli, Lan, Jionghuang, Chen, Framing, Zhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157543/
https://www.ncbi.nlm.nih.gov/pubmed/37151863
http://dx.doi.org/10.3389/fsurg.2023.1122558
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author Xinyang, Zhou
Taoying, Lei
Xuli, Lan
Jionghuang, Chen
Framing, Zhong
author_facet Xinyang, Zhou
Taoying, Lei
Xuli, Lan
Jionghuang, Chen
Framing, Zhong
author_sort Xinyang, Zhou
collection PubMed
description OBJECTIVE: This study aimed to compare the effect of passive drainage and active suction drainage on complications after pancreatectomy. METHODS: The databases were searched and covered in this study on the comparison of passive and active suction drainage after pancreatectomy from the database establishment to Feb. 2023. A meta-analysis was conducted with the RevMan5.3 software. RESULTS: On the whole, 1,903 cases were included in eight studies, including 994 cases in the passive drainage group, 909 in the active suction drainage group, 1,224 in the pancreaticoduodenectomy group, as well as 679 in the distal pancreatectomy group. No statistically significant difference was identified between the two groups in the incidence of total complications, the rate of abdominal hemorrhage, the rate of abdominal effusion, the death rate and the length of stay after pancreatectomy (all P > 0.05), whereas the difference in the incidence of pancreatic fistula after distal pancreatectomy between the two groups was of statistical significance (OR = 3.35, 95% CI = 1.12−10.07, P = 0.03). No significant difference was reported in pancreatic fistula between the two groups after pancreaticoduodenectomy. CONCLUSION: After distal pancreatectomy, active suction drainage might down-regulate the incidence of postoperative pancreatic fistula.
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spelling pubmed-101575432023-05-05 Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis Xinyang, Zhou Taoying, Lei Xuli, Lan Jionghuang, Chen Framing, Zhong Front Surg Surgery OBJECTIVE: This study aimed to compare the effect of passive drainage and active suction drainage on complications after pancreatectomy. METHODS: The databases were searched and covered in this study on the comparison of passive and active suction drainage after pancreatectomy from the database establishment to Feb. 2023. A meta-analysis was conducted with the RevMan5.3 software. RESULTS: On the whole, 1,903 cases were included in eight studies, including 994 cases in the passive drainage group, 909 in the active suction drainage group, 1,224 in the pancreaticoduodenectomy group, as well as 679 in the distal pancreatectomy group. No statistically significant difference was identified between the two groups in the incidence of total complications, the rate of abdominal hemorrhage, the rate of abdominal effusion, the death rate and the length of stay after pancreatectomy (all P > 0.05), whereas the difference in the incidence of pancreatic fistula after distal pancreatectomy between the two groups was of statistical significance (OR = 3.35, 95% CI = 1.12−10.07, P = 0.03). No significant difference was reported in pancreatic fistula between the two groups after pancreaticoduodenectomy. CONCLUSION: After distal pancreatectomy, active suction drainage might down-regulate the incidence of postoperative pancreatic fistula. Frontiers Media S.A. 2023-04-20 /pmc/articles/PMC10157543/ /pubmed/37151863 http://dx.doi.org/10.3389/fsurg.2023.1122558 Text en © 2023 Xinyang, Taoying, Xuli, Jionghuang and Faming. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Xinyang, Zhou
Taoying, Lei
Xuli, Lan
Jionghuang, Chen
Framing, Zhong
Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title_full Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title_fullStr Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title_full_unstemmed Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title_short Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis
title_sort comparison of the complications of passive drainage and active suction drainage after pancreatectomy: a meta-analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157543/
https://www.ncbi.nlm.nih.gov/pubmed/37151863
http://dx.doi.org/10.3389/fsurg.2023.1122558
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