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Autologous but not Fibrin Sealant Patches for Stump Coverage Reduce Clinically Relevant Pancreatic Fistula in Distal Pancreatectomy: A Systematic Review and Meta-analysis

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Abstract

Background

Postoperative pancreatic fistula (POPF) causes significant morbidity and mortality after distal pancreatectomy. Patch coverage of the pancreatic stump is often used with the intention to prevent POPF. Despite numerous investigations, the effects of patch coverage remain unclear. The present meta-analysis aims to clarify the effects of patch coverage in distal pancreatectomy on the incidence of POPF.

Methods

A systematic search of MEDLINE/PubMed and the Cochrane Database according to the PRISMA Statement was performed. Subsequently a meta-analysis on rates and overall incidence of POPF and length of hospital stay was carried out. By applying the inverse variance weighting method, the combined effect size and 95 % confidence interval were calculated. Heterogeneity was assessed using I 2 statistics.

Results

Five randomized controlled trials and six observational clinical studies were included for final analysis. A cumulative incidence of 43 % of POPF grades A–C was identified. Patch coverage in distal pancreatectomy is significantly associated with a decreased rate of POPF grade C (p = 0.006). Patches of autologous vascularized tissue significantly reduce the overall incidence of POPF (p = 0.04) and clinically relevant POPF grade B and C (p = 0.002). Fibrin sealant patches do not influence rates of POPF after distal pancreatectomy. None of the outcomes evaluated showed adverse results for the patch group.

Conclusions

Patch coverage after distal pancreatectomy can reduce the rate of POPF. Patch coverage with autologous vascularized tissue but not fibrin sealant patches may be used to reduce clinically relevant POPF and postoperative morbidity in distal pancreatectomy.

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Abbreviations

BMI:

Body mass index

CI:

Confidence interval

IPMN:

Intraductal papillary mucinous neoplasm

LOS:

Length of postoperative hospital stay

NET:

Neuroendocrine tumor

OCS:

Observational clinical studies

PCa:

Pancreatic cancer

POPF:

Postoperative pancreatic fistula

RCT:

Randomized controlled trial

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Author notes

    Authors and Affiliations

    1. Division of Pancreatic Surgery, Department of General, Visceral, and Transplantation Surgery, Ludwig Maximilians-University, Marchioninistraße 15, 81377, Munich, Germany

      Maximilian Weniger, Jan Goesta D’Haese, Martin Kurt Angele, Jens Werner & Werner Hartwig

    2. Chair for Public Health and Health Care Research, Research Unit for Biopsychosocial Health, Department of Medical Informatics, Biometry and Epidemiology – IBE, Ludwig Maximilians University, Munich, Germany

      Alexander Crispin

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    1. Maximilian Weniger
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    2. Jan Goesta D’Haese
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    5. Jens Werner
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    6. Werner Hartwig
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    Correspondence to Werner Hartwig.

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    Additional information

    Maximilian Weniger and Jan Goesta D’Haese have contributed equally.

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    Weniger, M., D’Haese, J.G., Crispin, A. et al. Autologous but not Fibrin Sealant Patches for Stump Coverage Reduce Clinically Relevant Pancreatic Fistula in Distal Pancreatectomy: A Systematic Review and Meta-analysis. World J Surg 40, 2771–2781 (2016). https://doi.org/10.1007/s00268-016-3612-0

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    • DOI: https://doi.org/10.1007/s00268-016-3612-0

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