Review Article

Surgical Technique in Distal Pancreatectomy: A Systematic Review of Randomized Trials

Table 2

Assessment of methodological quality and risk of bias of the selected trials.

ReferenceYearGroup size calculationRandomization and concealment of allocationBlindingComplete
followup
Risk of bias

Suzuki et al. [35]1995MissingDrawing lotsMissingMissingHigh

Suzuki et al. [36]1999MissingDrawing lotsMissingMissingHigh

Bassi et al. [37]1999MissingMissingMissingMissingHigh

Suc et al. [38]2003POPF rate 40%, reduction to 20%, one-tailed test alfa 5%, power of 80%Telephone call to the coordinating center, computerized random-number tablesPatients and nursing staff30 days after dischargeUnclear

Oláh et al. [39]2009POPF rate 25%, reduction to 15%, alfa 5%, power of 80%Sealed envelopesMissingHospital stayLow

Diener et al. [27]2011POPF rate 35%, reduction of 15%, two-sided alfa 5%, power of 80%Central randomisation systemThe patient and the outcome assessorPOD 30Low

Frozanpor et al. [24]2012POPF rate 40%, reduction to 0%, two-sided alfa 5%, power of 80%Opaque sealed envelopesMissingPOD 30Low

Hamilton et al. [40]2012POPF rate 20%, reduction to 5%, two-sided alfa 5%, power of 80%Random number generatorThe patient and the outcome assessorPOD 30Low

Montorsi et al. [41]2012POPF rate 30%, reduction to 15%, two-sided alfa 5%, power of 80%Two separate randomization lists at each center (laparoscopic and open)Missing2 months after dischargeLow

Carter et al. [21]2013POPF rate 30%, reduction to 15%, one-tailed test alfa 5%, power of 80%Opaque sealed envelopesMissingMay 2012 (7 months after trial closure)Low

POD: postoperative day; POPF: postoperative pancreatic fistula.