The American Journal of Surgery
Volume 200, Issue 4 , Pages 529-536 , October 2010

Stapler vs suture closure of pancreatic remnant after distal pancreatectomy: a meta-analysis

  • Wei Zhou, M.D.

      Affiliations

    • Department of General Surgery, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
    • Minimally Invasive Surgery Institute of Zhejiang University, Hangzhou, China
    • ,
  • Ran Lv, M.D.

      Affiliations

    • Department of Anesthesiology, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
    • Corresponding Author InformationCorresponding author: Tel.: 86-13588706479; fax: 86-571-86044817
    • ,
  • Xianfa Wang, M.D.

      Affiliations

    • Department of General Surgery, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
    • Minimally Invasive Surgery Institute of Zhejiang University, Hangzhou, China
    • ,
  • Yiping Mou, M.D.

      Affiliations

    • Department of General Surgery, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
    • Minimally Invasive Surgery Institute of Zhejiang University, Hangzhou, China
    • ,
  • Xiujun Cai, M.D.

      Affiliations

    • Department of General Surgery, Affiliated Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
    • Minimally Invasive Surgery Institute of Zhejiang University, Hangzhou, China
    • ,
  • Ingrid Herr, Ph.D.

      Affiliations

    • Molecular OncoSurgery Group, Department of General Surgery, University of Heidelberg and German Cancer Research Center, Heidelberg, Germany

Received 26 September 2009 ,Revised 22 December 2009

References 

  1. Fernandez-del Castillo C, Rattner DW, Warshaw AL. Standards for pancreatic resection in the 1990s. Arch Surg. 1995;130:295–299
  2. Buchler MW, Wagner M, Schmied BM, et al. Changes in morbidity after pancreatic resection: toward the end of completion pancreatectomy. Arch Surg. 2003;138:1310–1314
  3. Lillemoe KD, Kaushal S, Cameron JL, et al. Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg. 1999;229:693–698
  4. Kleeff J, Diener MK, Z'Graggen K, et al. Distal pancreatectomy: risk factors for surgical failure in 302 consecutive cases. Ann Surg. 2007;245:573–582
  5. Rodriguez JR, Germes SS, Pandharipande PV, et al. Implications and cost of pancreatic leak following distal pancreatic resection. Arch Surg. 2006;141:361–365
  6. Knaebel HP, Diener MK, Wente MN, et al. Systematic review and meta-analysis of technique for closure of the pancreatic remnant after distal pancreatectomy. Br J Surg. 2005;92:539–546
  7. Stroup DF, Berlin JA, Morton SC, et al. Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) Group Meta-analysis of observational studies in epidemiology: a proposal for reporting. JAMA. 2000;283:2008–2012
  8. Clarke M, Horton R. Bringing it all together: Lancet-Cochrane collaborate on systematic reviews. Lancet. 2001;357:1728
  9. Balzano G, Zerbi A, Cristallo M, et al. The unsolved problem of fistula after left pancreatectomy: the benefit of cautious drain management. J Gastrointest Surg. 2005;9:837–842
  10. Ferrone CR, Warshaw AL, Rattner DW, et al. Pancreatic fistula rates after 462 distal pancreatectomies: staplers do not decrease fistula rates. J Gastrointest Surg. 2008;12:1691–1697
  11. Zhao YP, Hu Y, Liao Q, et al. The utility of stapler in distal pancreatectomy. [article in Chinese] Zhonghua Wai Ke Za Zhi. 2008;46:24–26
  12. Sheehan MK, Beck K, Creech S, et al. Distal pancreatectomy: does the method of closure influence fistula formation?. Am Surg. 2002;68:264–267
  13. Goh BK, Tan YM, Chung YF, et al. Critical appraisal of 232 consecutive distal pancreatectomies with emphasis on risk factors, outcome, and management of the postoperative pancreatic fistula: a 21-year experience at a single institution. Arch Surg. 2008;143:956–965
  14. Bilimoria MM, Cormier JN, Mun Y, et al. Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation. Br J Surg. 2003;90:190–196
  15. Bassi C, Butturini G, Falconi M, et al. Prospective randomised pilot study of management of the pancreatic stump following distal resection. HPB. 1999;1:203–207
  16. Takeuchi K, Tsuzuki Y, Ando T, et al. Distal pancreatectomy: is staple closure beneficial?. Aust N Z J Surg. 2003;73:922–925
  17. Lorenz U, Maier M, Steger U, et al. Analysis of closure of the pancreatic remnant after distal pancreatic resection. HPB (Oxford). 2007;9:302–307
  18. Buchler M, Friess H, Klempa I, et al. Role of octreotide in the prevention of postoperative complications following pancreatic resection. Am J Surg. 1992;163:125–130
  19. Pachter HL, Pennington R, Chassin J, et al. Simplified distal pancreatectomy with the Auto Suture stapler: preliminary clinical observations. Surgery. 1979;85:166–170
  20. Sugo H, Mikami Y, Matsumoto F, et al. Distal pancreatectomy using the harmonic scalpel. Surgery. 2000;128:490–491
  21. Sugo H, Mikami Y, Matsumoto F, et al. Comparison of ultrasonically activated scalpel versus conventional division for the pancreas in distal pancreatectomy. J Hepatobiliary Pancreat Surg. 2001;8:349–352
  22. Schnelldorfer T, Mauldin PD, Lewin DN, et al. Distal pancreatectomy for chronic pancreatitis: risk factors for postoperative pancreatic fistula. J Gastrointest Surg. 2007;11:991–997
  23. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13
  24. Sledzianowski JF, Duffas JP, Muscari F, et al. Risk factors for mortality and intra-abdominal morbidity after distal pancreatectomy. Surgery. 2005;137:180–185
  25. Degiannis E, Levy RD, Potokar T, et al. Distal pancreatectomy for gunshot injuries of the distal pancreas. Br J Surg. 1995;82:1240–1242
  26. Pannegeon V, Pessaux P, Sauvanet A, et al. Pancreatic fistula after distal pancreatectomy: predictive risk factors and value of conservative treatment. Arch Surg. 2006;141:1071–1076
  27. Lillemoe KD, Cameron JL, Kim MP, et al. Does fibrin glue sealant decrease the rate of pancreatic fistula after pancreaticoduodenectomy? (Results of a prospective randomized trial). J Gastrointest Surg. 2004;8:766–772
  28. Suzuki Y, Kuroda Y, Morita A, et al. Fibrin glue sealing for the prevention of pancreatic fistulas following distal pancreatectomy. Arch Surg. 1995;130:952–955
  29. Kawai M, Tani M, Yamaue H. Transection using bipolar scissors reduces pancreatic fistula after distal pancreatectomy. J Hepatobiliary Pancreat Surg. 2008;15:366–372
  30. Suzuki Y, Fujino Y, Tanioka Y, et al. Randomized clinical trial of ultrasonic dissector or conventional division in distal pancreatectomy for non-fibrotic pancreas. Br J Surg. 1999;86:608–611
  31. Olah A, Issekutz A, Belagyi T, et al. Randomized clinical trial of techniques for closure of the pancreatic remnant following distal pancreatectomy. Br J Surg. 2009;96:602–607
  32. Kajiyama Y, Tsurumaru M, Udagawa H, et al. Quick and simple distal pancreatectomy using the GIA stapler: report of 35 cases. Br J Surg. 1996;83:1711
  33. Ridolfini MP, Alfieri S, Gourgiotis S, et al. Risk factors associated with pancreatic fistula after distal pancreatectomy, which technique of pancreatic stump closure is more beneficial?. World J Gastroenterol. 2007;13:5096–5100
  34. Okano K, Kakinoki K, Yachida S, et al. A simple and safe pancreas transection using a stapling device for a distal pancreatectomy. J Hepatobiliary Pancreat Surg. 2008;15:353–358
  35. Nathan H, Cameron JL, Goodwin CR, et al. Risk factors for pancreatic leak after distal pancreatectomy. Ann Surg. 2009;250:277–281

PII: S0002-9610(10)00176-5

doi: 10.1016/j.amjsurg.2009.12.022

The American Journal of Surgery
Volume 200, Issue 4 , Pages 529-536 , October 2010

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