Preoperative restricted versus liberal fluid administration on perioperative safety for pancreatic surgery: a Meta-analysis
10.3760/cma.j.issn.0529-5815.2017.08.013
- VernacularTitle: 术前限制性与开放性液体治疗对胰腺手术围手术期安全性影响的Meta分析
- Author:
Guosen WANG
1
;
Ming DONG
;
Weiwei SHENG
;
Jianping ZHOU
Author Information
1. Department of Gastrointestinal Surgery and Hernia and Abdominal Wall Surgery, the First Hospital, China Medical University, Shenyang 110001, China
- Publication Type:Journal Article
- Keywords:
Pancreatectomy;
Intraoperative complications;
Meta-analysis;
Restricted fluid administration;
Liberal fluid administration
- From:
Chinese Journal of Surgery
2017;55(8):618-625
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the perioperative safety of preoperative restricted fluid administration and liberal fluid administration for pancreatic surgery.
Methods:The randomized controlled trials comparing restricted and liberal in pancreatic surgery were collected by searching the databases of PubMed, Embase and the Cochrane Library.Two reviewers independently selected studies according to the inclusion and exclusion criteria, then extracted the data and assessed the quality of included studies.Meta-analysis was performed by RevMan 5.3 software.
Results:A total of 4 studies involving 785 patients were finally included, with 396 cases in restricted group and 389 cases in liberal group.Results of Meta-analysis showed that there was no statistically significant difference between the two groups in terms of intraoperative blood loss, postoperative complications, mortality, reoperation in-hospital and length of stay(all P>0.05).
Conclusion:With regard to pancreatic surgery, restricted fluid administration do not have outstanding advantages.
