postoperative complications of laparoscopic versus open common hepatic duct-jejunal roux-en-y anastomosis: a meta-analysis
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2016
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Abstract
Objective To investigate the incidence of postoperative complications in laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis. Methods The databases of PubMed, Web of Science, CNKI, VIP, and Wanfang Data were searched for related studies on postoperative complications in laparoscopic or open common hepatic duct-jejunal Roux-en-Y anastomosis published up to May 20, 2016. Two reviewers performed literature screening according to inclusion and exclusion criteria, data extraction, and quality assessment independently. STATA12.0 software was used for the meta-analysis. Results A total of 9 studies with 548 patients were enrolled. Among these patients, 261 underwent laparoscopic surgery and 287 underwent open surgery. The results of the meta-analysis showed that compared with the open surgery group, the laparoscopic surgery group had lower incidence rates of total complications (OR=0.40, 95% CI： 0.24-0.68, P=0.001), incision infection (OR=0.20, 95% CI： 0.08-0.53, P=0.001), and adhesive ileus (OR=0.25, 95% CI： 0.06-0.99, P=0.049). However, there was no significant difference in the incidence of bile leakage between the two groups (P＞0.05). Conclusion Compared with open surgery, laparoscopic common hepatic duct-jejunal Roux-en-Y anastomosis has a lower incidence of total postoperative complications, and therefore, it is a safe and feasible surgical procedure.
| Reference Key |
yang2016linchuangpostoperative
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| Authors | ;LIN Yang;WEI Wei;ZHANG Xiaohui |
| Journal | lontar komputer |
| Year | 2016 |
| DOI |
10.3969/j.issn.1001-5256.2016.10.029
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