BioMed Research International / 2020 / Article / Tab 2 / Research Article
Overall Postoperative Morbidity and Pancreatic Fistula Are Relatively Higher after Central Pancreatectomy than Distal Pancreatic Resection: A Systematic Review and Meta-Analysis Table 2 Results of meta-analysis: CP versus DP.
Outcome of interest Studies no. Patients no. (CP/DP) RR or SMD 95% CI valueI 2 (%)Model Intraoperative outcomes Operation time (min) 20 526/911 1.03 (0.62, 1.44) <0.001 90% Random effects EBL (ml) 18 478/793 −0.34 (−0.58,−0.09) 0.007 70.6% Random effects Transfusion (n ) 13 361/623 0.69 (0.47, 1.01) 0.059 0.0 Fixed effects Postoperative outcomes LOS (days) 23 0.63 (0.20, 1.05) <0.01 90.8% Random effects Overall complications 21 499/1002 1.30 (1.13, 1.50) <0.001 0.0 Fixed effects Overall PF 24 593/1226 1.41 (1.20, 1.66) <0.001 0.0 Fixed effects PF (grade B + C) 12 350/825 1.64 (1.25, 2.16) <0.001 1.7 Fixed effects POH 11 373/567 1.90 (1.18, 3.06) 0.008 0.0 Fixed effects Reoperation (n ) 15 411/805 1.10 (0.69, 1.73) 0.699 6.1 Fixed effects Perioperative mortality 3 63/163 3.31 (0.52, 21.32) 0.207 0.0 Fixed effects Long-term outcomes Endocrine impairment 18 483/694 0.27 (0.18, 0.40) <0.001 0.0 Fixed effects IDDM 6 227/163 0.15 (0.06, 0.42) <0.001 0.0 Fixed effects Exocrine impairment 9 304/324 0.56 (0.37, 0.84) 0.006 0.0 Fixed effects Recurrence 7 155/366 1.02 (0.48, 2.20) 0.956 0.0 Fixed effects
EBL: estimated blood loss; LOS: length of hospital stay; PF: pancreatic fistula; POH: postoperative hemorrhage; IDDM: insulin-dependent diabetes mellitus.