Minimally+invasive+spleen-preserving+distal+pancreatectomy：Does+splenic+vessel+preser-vation+have+better+postoperative+outcomes-+A+systematic+review+and+meta-analysis壳.pdfVIP

Meta-analysis Hepatobiliary Pancreatic Diseases International Minimally invasive spleen-preserving distal pancreatectomy: Does splenic vessel preser- vation have better postoperative outcomes? A systematic review and meta-analysis Fady Elabbasy, Rahul Gadde, Mena M Hanna, Danny Sleeman, Alan Livingstone and Danny Yakoub Miami, USA BACKGROUND: Minimally invasive spleen-preserving distal P=0.37), length of hospital stay, operative time or blood loss. pancreatectomy (SPDP) can be performed with either splenic There was moderate cross-study heterogeneity. vessel preservation (SVP) or resection [Warshaw procedure CONCLUSIONS: SVP is a safe, efficient and feasible technique (WP)]. The aim of this study was to evaluate the postoperative clinical outcomes of patients undergoing both methods. that may be used to preserve the spleen. WP may be more suit- able for large tumors close to the splenic hilum or those associ- DATA SOURCES: Database search of PubMed, Embase, Scopus, ated with splenomegaly. Randomized clinical trials are justified Cochrane, and Google Scholar was performed (2000-2014); to examine the long-term benefits of SVP-SPDP. key bibliographies were reviewed. Qualified studies compar- ing patients undergoing SPDP with either SVP or WP, and as- (Hepatobiliary Pancreat Dis Int 2015;14:346-353) sessing postoperative complications were included. Calculated KEY WORDS: splenic infarction; pooled risk ratio (RR) with the corresponding 95% confidence spleen-preserving distal pancreatectomy; interval (CI) by random effects me