Review Article

Duodenum-Preserving Resection of the Pancreatic Head versus Pancreaticoduodenectomy for Treatment of Chronic Pancreatitis with Enlargement of the Pancreatic Head: Systematic Review and Meta-Analysis

Table 1

The characteristics of all the included studies.

AuthorYearCountryStudy typeGroupPatients numberMale/femaleAge, yStudy quality
RCT(jadad system)
retro(NOS system)

Keck et al. [8]2012GermanyRCTBeger4235/741.25
PD/PPPD4337/642.7
Strate et al. [9]2008GermanyRCTFrey3125/643.1 ± 6.55
PD/PPPD3026/444.6 ± 5.3
Müller et al. [10]2008GermanyRCTBeger2018/243.0 ± 9.05
PD/PPPD2018/246.0 ±11.0
Farkas et al. [11]2006GermanyRCTFrey2015/543.0 ± 5.05
PD/PPPD2015/545.0 ± 8.0
Helmut et al. [12]2002GermanyRCTBeger35437
PD/PPPD3048
Izbicki et al. [13]1998GermanyRCTFrey3119/943.0 ± 5.05
PD/PPPD3019/1045.0 ± 8.0
Klempa et al. [14]1995GermanyRCTBeger225
PD/PPPD21
Büchler et al. [15]1995GermanyRCTBeger2025/943.0 ± 9.07
PD/PPPD2012/846.0 ± 11.0
Zheng et al. [16]2012ChinaRetroDPPHR6621/1646.0 (8.8)7
PD/PPPD5723/1445.6 (9.7)
Hildebrand et al. [17]2010GermanyRetroFrey228/1446.6 ± 9.17
PD/PPPD5926/3354.1 ± 9.7
McClaine et al. [18]2009AmericaRetroDPPHR228/1444.9 ± 11.19
PD/PPPD5926/3346.8 ± 11.1
Möbius et al. [19]2007GermanyRetroDPPHR297
PD/PPPD24
Belina et al. [20]2005CzechRetroFrey4839/945 (23–71)7
PD/PPPD5655/148 (29–71)
Witzigmann et al. [21]2003GermanyRetroDPPHR3828/1042 ± 109
PD/PPPD3225/747 ± 12
Kelemen and Horváth [22]2002JapanRetroBeger3213/045.3 (36–64)7
Frey1326/645.9 (36–58)
PD/PPPD2119/248.2 (31–70)

RCT: randomized controlled trial, PD/PPPD: pancreaticoduodenectomy, and DPPHR: duodenum-preserving pancreatic head resection. Jadad scale system: The Jadad scale, sometimes known as Jadad scoring or the Oxford quality scoring system, is a procedure to independently assess the methodological quality of a clinical trial. It is the most widely used assessment in the world. The Newcastle-Ottawa System: the quality of the nonrandomized studies was assessed by using this system. The quality of the studies was evaluated by examining three items: patient selection, comparability of groups, and assessment of outcome.