Meta-analysis of surgical outcome after enucleation versus standard resection for pancreatic neoplasms

Background Pancreatic enucleation is a tissue‐sparing approach to pancreatic neoplasms and may result in better postoperative pancreatic function than standard pancreatic resection. The objective of this review was to compare the postoperative outcome after pancreatic enucleation versus standard res...

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Veröffentlicht in:British journal of surgery 2015-08, Vol.102 (9), p.1026-1036
Hauptverfasser: Hüttner, F. J., Koessler-Ebs, J., Hackert, T., Ulrich, A., Büchler, M. W., Diener, M. K.
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Sprache:eng
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Zusammenfassung:Background Pancreatic enucleation is a tissue‐sparing approach to pancreatic neoplasms and may result in better postoperative pancreatic function than standard pancreatic resection. The objective of this review was to compare the postoperative outcome after pancreatic enucleation versus standard resection. Methods MEDLINE, Embase and the Cochrane Library were searched systematically until February 2015 to identify studies comparing the outcome of enucleation versus standard resection for pancreatic neoplasms. After critical appraisal, meta‐analysis was performed and the findings were presented as odds ratios or weighted mean differences with corresponding 95 per cent c.i. Results Twenty‐two observational studies (1148 patients) were included. Duration of surgery (P 
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.9819