Whether preoperative biliary drainage leads to better patient outcomes of pancreaticoduodenectomy: a meta-analysis and systematic review

BMC Gastroenterology, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 11, 2025

To investigate whether preoperative biliary drainage is beneficial for patients undergoing pancreaticoduodenectomy. The PubMed, Cochrane Library and the Web of Science were systematically searched relevant trials that included outcome pancreaticoduodenectomy with without from January 2010 to May 2024. primary outcomes are postoperative pancreatic fistula intra-abdominal infection. Data pooled using risk ratio or standardized mean difference 95% confidence interval. study protocol was registered prospectively PROSPERO (CRD42022372584). A total 39 retrospective cohort studies 33,516 in this trial. Compared no drainage, group had a longer hospital stay (SMD, 0.14). Performing significantly increases (RR, 1.09), infection surgical site 1.84), sepsis 1.37). But lowers bile leak 0.74). Preoperative before complications clear overall benefits. Routine PBD not recommended younger mild moderate jaundice but may be considered high-risk patients, such as those severe infections progressive jaundice. Optimizing duration timing help reduce complications. Further research needed refine patient selection perioperative strategies.

Language: Английский

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The optimal choice for patients underwent minimally invasive pancreaticoduodenectomy: a systematic review and meta-analysis including patient subgroups

Surgical Endoscopy, Journal Year: 2024, Volume and Issue: 38(11), P. 6237 - 6253

Published: Sept. 25, 2024

Language: Английский

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Prevention of postpancreatectomy hemorrhage after laparoscopic pancreaticoduodenectomy by wrapping ligamentum teres hepatis surrounding hepatic portal artery

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Aug. 7, 2024

Postpancreatectomy hemorrhage (PPH) is an important risk factor for postoperative complications after laparoscopic pancreaticoduodenectomy (LPD). Recent studies have reported that the use of ligamentum teres hepatis (LTH) in LPD may reduce PPH. Therefore, this study aims to investigate whether wrapping hepatic hilar artery with LTH can PPH LPD. We reviewed data 131 patients who underwent our team from April 2018 December 2023. The were divided into Groups A (60 patients) and B (71 according portal was wrapped or not. perioperative two groups compared evaluate effect on platelet count Group (225.25 ± 87.61) × 10^9/L, (289.38 127.35) a statistically significant difference (p < 0.001). operation time group [300.00 (270.00, 364.00)] minutes shorter than [330.00 (300.00, 360.00)] minutes, p = 0.037. In addition, set hospital stay [12.00 (10.00, 15.00)] days [15.00 (12.00, 19.50)] days, 0.001. No occurred A, while 8 had (7 cases gastroduodenal 1 case proper hemorrhage), 0.019. new technique through effectively occurrence

Language: Английский

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Pancreatic surgery after preoperative biliary drainage in periampullary cancers: Does Timing Matter? A systematic review and Meta-analysis

HPB, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Language: Английский

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