Review Article

Are Internal or External Pancreatic Duct Stents the Preferred Choice for Patients Undergoing Pancreaticoduodenectomy? A Meta-Analysis

Table 1

The characteristics of all the included studies.

AuthorYearCountryStudy typeSurgeryGroupPatients numberMale/femaleAge, yAnastomosis techniqueStudy quality
RCT (Jadad system)
Retro (NOS system)

Jang [8]2016KoreaRCTPD/PPPDEXS164103/6162 (46.3–76.0)ES-DM-PJ5
INS16487/7763 (38.5–77.0)ES-DM-PJ
Wang [9]2014ChinaRCTPDEXS11059/5152/58 (≥65/<65)DM-PJ5
INS15954/5556/53 (≥65/<65)IN-PJ
Tani [10]2010JapanRCTPDEXS5028/2270 (44–87)ES-DM-PJ5
INS5027/2368 (25–84)ES-DM-PJ
Kamoda [11]2008JapanRCTPD/PPPDEXS228/149/13 (≥65/<65)ES-DM-PJ5
INS217/1414/7 (≥65/<65)EE-IN-PJ

RCT: randomized controlled trial; PD/PPPD: pancreaticoduodenectomy; EXS: external stents; INS: internal stents; ES-DM-PJ: end-to-side, duct-to-mucosa pancreaticojejunostomy; DM-PJ: duct-to-mucosa pancreaticojejunostomy; IN-PJ: invagination pancreaticojejunostomy; EE-IN-PJ: end-to-end, invagination pancreaticojejunostomy.