Postoperative complications of laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis: a Meta-analysis
10.3969/j.issn.1001-5256.2016.10.029
- VernacularTitle:腹腔镜与开放肝总管空肠Roux-en-Y吻合术后并发症比较的Meta分析
- Author:
Yang LIN
1
;
Wei WEI
;
Xiaohui ZHANG
Author Information
1. Department of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
- Publication Type:Research Article
- Keywords:
laparoscopy;
anastomosis, Roux-en-Y;
postoperative complications;
Meta-analysis
- From:
Journal of Clinical Hepatology
2016;32(10):1959-1963
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the incidence of postoperative complications in laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis. MethodsThe 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. ResultsA 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=040, 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). ConclusionCompared 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.
