Review Article

Feasibility of Comparing the Results of Pancreatic Resections between Surgeons: A Systematic Review and Meta-Analysis of Pancreatic Resections

Table 1

Population characteristics.

Study ID Number of
patients
Cancers
(percentage)
GroupsNumbers in each groupAverage age
in years
Females
(percentage)
Group 1Group 2Group 3Group 1Group 2Group 3

Abu-Hilal et al. 2010 [35]100Not reportedFeeding through percutaneous jejunostomy feeding tubeFeeding through percutaneous transgastric jejunal feeding tubeFeeding through nasojejunal feeding tube2532436745 (45%)

Adams et al. 2013 [36]1020 (0%)Total pancreatectomy with islet autotransplant1024279 (77.5%)

Addeo et al. 2014 [37]13251325 (100%)PancreaticogastrostomyPancreaticojejunostomy73356365754 (56.9%)

Adham et al. 2013 [20]242Not reportedDrainNo drain13011262115 (47.5%)

Alexakis et al. 2004 [38]1120 (0%)Opioid use prior to surgeryNo opioid use prior to surgery66464635 (31.3%)

Aranha et al. 2006 [21]396168 (42.4%)PancreaticoduodenectomyDistal pancreatectomy with splenectomy3968667169 (42.7%)

Asbun and Stauffer 2012 [22]268130 (48.5%)Open procedureLaparoscopic procedure2155366144 (53.7%)

Assifi et al. 2012 [39]597Not reportedPancreaticoduodenectomySuspension pancreatic duct-jejunum end-to-side continuous suture anastomosis5536564284 (47.6%)

Barnett and Collier 2006 [23]10485 (81.7%)Patients undergoing pancreaticoduodenectomy1046347 (45.2%)

Bassi et al. 2005 [40]16389 (54.6%)PancreaticogastrostomyPancreaticojejunostomy69825756 (34.4%)

Beane et al. 2011 [41]23063 (27.4%)Endoscopic ultrasoundNo endoscopic ultrasoundDistal pancreatectomy1795160143 (62.2%)

Bedi et al. 2011 [42]248Not reportedPancreaticojejunostomyPancreaticogastrostomy126122Not reportedNot reported

Del Chiaro et al. 2012 [43]367Not reportedOverweight or obeseNormal weight141226Not reportedNot reported

Dong et al. 2013 [44]165156 (94.5%)End-to-end/end-to-side invaginated anastomosisEnd-to-side mucosal anastomosisSuspension pancreatic duct-jejunum end-to-side continuous suture anastomosis5248655150 (30.3%)

El Nakeeb et al. 2013 [45]442Not reportedCirrhotic liverNoncirrhotic liver6737553165 (37.3%)

Fang et al. 2007 [46]377319 (84.6%)PancreaticojejunostomyPancreaticogastrostomy18818968116 (30.8%)

Fathy et al. 2008 [47]216Not reportedPancreaticoduodenal resection2165485 (39.4%)

Figueras et al. 2013 [48]130104 (80%)Duct-to-duct pancreaticojejunostomyDouble-layer invaginated pancreaticogastrostomy58656642 (32.3%)

Fischer et al. 2010 [49]20985 (40.7%)Acute normovolemic haemodilutionStandard intraoperative management65656561 (29.2%)

Fisher et al. 2011 [50]100Not reportedNasogastric tubes removed in the early postoperative periodNasogastric tubes removed in the operating room at the conclusion of surgery50506256 (56%)

Haigh et al. 2011 [51]26101828 (70%)Younger (patients aged under 70 years)Elder (patients aged over 70 years) 1633799641330 (51%)

Kleespies et al. 2009 [52]182160 (87.9%)Cattell-Warren pancreaticojejunostomyBlumgart anastomosis90926677 (42.3%)

Liu and Zheng 2010 [53]1230 (0%)PancreaticoduodenectomyDuodenum preserving pancreatic head resection5766Not reportedNot reported

Oussoultzoglou et al. 2004 [54]250175 (70%)PancreaticogastrostomyPancreaticojejunostomy167835996 (38.4%)

Peng et al. 2007 [55]261194 (74.3%)Binding pancreaticojejunostomyConventional pancreaticojejunostomy10611152100 (38.3%)

Qin et al. 2013 [56]582Not reportedPancreaticoduodenectomy582Not reportedNot reported

Ross et al. 2013 [57]200108 (54%)No perioperative transfusionPerioperative transfusion1643664113 (56.5%)

Tran et al. 2004 [58]170Not reportedStandard WhipplePylorus preserving pancreaticoduodenectomy83876362 (36.5%)

Wellner et al. 2012 [59]267121 (45.3%)PancreaticogastrostomyPancreaticojejunostomy59576660 (22.5%)

Williams et al. 2009 [60]174172 (71.7%)Normal weightOverweightObese103716665123 (70.7%)

Groups according to the way the authors divided the patients.