Review Article
Ultrasonic Dissection versus Conventional Dissection for Pancreatic Surgery: A Meta-Analysis
Table 1
Characteristics of the included studies.
| | Author |
Year |
Country | Study design | Study interval | Age (years) | Cases |
Type of surgery | Ultrasonic device | Definition of pancreatic fistula | Quality score | | UD | CD | UD (M/F) | CD (M/F) |
| | Suzuki et al. [15] | 1999 | Japan | RCT | 1994–1998 | 57.7 | 58.5 | 27 (18/9) | 31 (18/13) | DP | CUSA | An external discharge of pancreatic fluid (>7 d) with an amylase level of >3 times the serum level | 2/5 |
| | Sugo et al. [16] | 2001 | Japan | Retro. | 1994–2000 | 61.7 | 56.7 | 11 (6/5) | 20 (12/8) | DP | HS | An external discharge of pancreatic fluid (>7 d) or a high level of amylase in the drainage fluid (>3 times the serum level) on day 7 after surgery | 15/24 |
| | Satoi et al. [17] | 2011 | Japan | PNR | 2009-2010 | 72 | 64 | 13 (8/5) | 13 (10/3) | PD, PPPD | UCS | ISGPF definition | 15/24 |
| | Uzunoglu et al. [18] | 2012 | Germany, Italy, Greece | RCT | 2009–2011 | 64.8 | 65.2 | 57 (33/24) | 44 (29/15) | PD, PPPD | HS | ISGPF definition | 3/5 |
| | Heverhagen et al. [19] | 2012 | Germany | PNR | 2005–2011 | 61 | 64.1 | 50 (37/13) | 50 (34/16) | PPPD | HS | ISGPF definition | 16/24 |
| | Yui et al. [20] | 2014 | Japan | Retro. | 2000–2010 | 66 | 65 | 57 (31/26) | 52 (29/23) | DP | USAD | UD group: ISGPF definition
CD group: ISGPF definition and other definitions that were not available | 15/24 |
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UD: ultrasonic dissection, CD: conventional dissection, M/F: male/female, RCT: randomized controlled trial, DP: distal pancreatectomy, CUSA: Cavitron Ultrasonic Surgical Aspirator, Retro.: retrospective observational study, HS: harmonic scalpel, PNR: prospective nonrandomized observational study, PD: pancreaticoduodenectomy, PPPD: pylorus-preserving PD, UCS: ultrasonically curved shear, ISGPF: International Study Group on Pancreatic Fistula, USAD: ultrasonically activated device.
Jadad score for RCTs and MINORS score for non-RCTs.
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