Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis

Background. Surgical interventions for pancreatic pseudocyst (PP) are traditionally managed by an open surgical approach. With the development of minimally invasive surgical techniques, a laparoscopic surgical approach for PPs has been conducted increasingly with comparable outcomes. The present stu...

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Autores principales:	Yulin Guo, Shun Hu, Shuo Wang, Ang Li, Feng Cao, Fei Li
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/ae5186cd8d734944b43992058e2d439e
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spelling	oai:doaj.org-article:ae5186cd8d734944b43992058e2d439e2021-11-29T00:55:58ZLaparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis2090-285910.1155/2021/7586338https://doaj.org/article/ae5186cd8d734944b43992058e2d439e2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/7586338https://doaj.org/toc/2090-2859Background. Surgical interventions for pancreatic pseudocyst (PP) are traditionally managed by an open surgical approach. With the development of minimally invasive surgical techniques, a laparoscopic surgical approach for PPs has been conducted increasingly with comparable outcomes. The present study was conducted to compare the efficacy and safety of surgical intervention for PPs between the laparoscopic approach and the open approach. Methods. Databases including Cochrane Library, PubMed, and EMBASE were searched to identify studies that compared the safety and efficacy of surgical intervention for PPs between the laparoscopic approach and the open approach (until Aug 1st 2020). Results. A total of 6 studies were eligible in qualitative synthesis. The laparoscopic approach was associated with less intraoperative blood loss (MD = −69.97; 95% CI: −95.14 to −44.70, P<0.00001; P=0.86 for heterogeneity) and shorter operating time (MD = −33.12; 95% CI: −62.24 to −4.00, P=0.03; P<0.00001 for heterogeneity). There was no significant difference found between the two approaches regarding the success rate and the recurrence rate. The postoperative complications and mortality rates were comparable between the two approaches. Conclusions. The laparoscopic approach for the surgical intervention of PPs is safe and efficacious with shorter-term benefits.Yulin GuoShun HuShuo WangAng LiFeng CaoFei LiHindawi LimitedarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENEmergency Medicine International, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Yulin Guo Shun Hu Shuo Wang Ang Li Feng Cao Fei Li Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
description	Background. Surgical interventions for pancreatic pseudocyst (PP) are traditionally managed by an open surgical approach. With the development of minimally invasive surgical techniques, a laparoscopic surgical approach for PPs has been conducted increasingly with comparable outcomes. The present study was conducted to compare the efficacy and safety of surgical intervention for PPs between the laparoscopic approach and the open approach. Methods. Databases including Cochrane Library, PubMed, and EMBASE were searched to identify studies that compared the safety and efficacy of surgical intervention for PPs between the laparoscopic approach and the open approach (until Aug 1st 2020). Results. A total of 6 studies were eligible in qualitative synthesis. The laparoscopic approach was associated with less intraoperative blood loss (MD = −69.97; 95% CI: −95.14 to −44.70, P<0.00001; P=0.86 for heterogeneity) and shorter operating time (MD = −33.12; 95% CI: −62.24 to −4.00, P=0.03; P<0.00001 for heterogeneity). There was no significant difference found between the two approaches regarding the success rate and the recurrence rate. The postoperative complications and mortality rates were comparable between the two approaches. Conclusions. The laparoscopic approach for the surgical intervention of PPs is safe and efficacious with shorter-term benefits.
format	article
author	Yulin Guo Shun Hu Shuo Wang Ang Li Feng Cao Fei Li
author_facet	Yulin Guo Shun Hu Shuo Wang Ang Li Feng Cao Fei Li
author_sort	Yulin Guo
title	Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
title_short	Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
title_full	Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
title_fullStr	Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
title_full_unstemmed	Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis
title_sort	laparoscopic intervention to pancreatic pseudocyst confers short-term benefits: a meta-analysis
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ae5186cd8d734944b43992058e2d439e
work_keys_str_mv	AT yulinguo laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis AT shunhu laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis AT shuowang laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis AT angli laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis AT fengcao laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis AT feili laparoscopicinterventiontopancreaticpseudocystconfersshorttermbenefitsametaanalysis
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Laparoscopic Intervention to Pancreatic Pseudocyst Confers Short-Term Benefits: A Meta-Analysis

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