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Minimally invasive surgery compared to endoscopic intervention for treating infected pancreatic necrosis. A meta-analysis.
Wu, Guangjiang; Cui, Can; Song, Qingkun.
Afiliación
  • Wu G; Department of Infection Management and Disease Prevention and Control, Beijing Youan Hospital, Capital Medical University, Beijing, China.
  • Cui C; Department of Infection Management and Disease Prevention and Control, Beijing Youan Hospital, Capital Medical University, Beijing, China.
  • Song Q; Center of Biobank, Beijing Youan Hospital, Capital Medical University, Beijing, China.
Wideochir Inne Tech Maloinwazyjne ; 19(2): 141-151, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38973796
ABSTRACT

Introduction:

The current study aimed to compare the outcomes of endoscopic and minimally invasive surgical treatment for infected necrotizing pancreatitis. Material and

methods:

A meta-analysis of clinical studies on minimally invasive operations for necrotic infection was conducted. A systematic review and study inclusion were done on multiple databases. English-language prospective comparison studies were included. Random design was used to analyze research with continuous and dichotomous variables.

Results:

Ten studies were included in the current study. When compared to minimally invasive surgery, endoscopic procedures showed significant beneficial outcomes regarding low post-operative complication rates (p = 0.006), new onset organ failure (p < 0.001), and pancreatic fistula (p < 0.001). However, there was no significant difference between the two interventions regarding hospital stay, postoperative bleeding, incisional hernia, endocrine insufficiency, and perforation of a visceral organ.

Conclusions:

Endoscopic therapy appears to have potential advantages over minimally invasive surgery. However, there is no difference between interventions regarding several parameters.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Polonia