Systematic review and Meta-analysis of endoscopic ultrasound drainage for peripancreatic fluid collection after pancreatic surgery

doi:10.3877/cma.j.issn.2095-2015.2022.06.008

Abstract

Abstract:

Objective

To systematically evaluate the efficacy of endoscopic ultrasound-guided drainage(EUSD)in the treatment of peripancreatic fluid collection(PFC)after pancreatic surgery.

Methods

The literatures on the treatment of PFC with EUSD and percutaneous puncture drainage(PCD)in Chinese and English were retrieved.After quality evaluation, meta-analysis was conducted to compare the effects of EUSD and PCD on the operation success rate, clinical success rate, complication rate, hospitalization time and recurrence rate of PFC patients.

Results

A total of 7 retrospective cohort studies were included, including 1 article with 7 NOS points, 2 articles with 8 points and 4 articles with 9 points.Meta analysis showed that there were no statistically significant differences in the operation success rate(OR=0.92, 95% CI: 0.92-4.72, P=0.92), clinical success rate(OR=1.52, 95% CI: 0.79-2.92, P=0.21), complication rate(OR=0.59, 95% CI: 0.26-1.36, P=0.22)and recurrence rate(OR=1.00, 95% CI: 0.36-2.73, P=1.00)between EUSD and PCD in the treatment of PFC.The hospitalization time of PFC treated with EUSD was shorter than that treated with PCD(MD=-2.80, 95% CI: -5.50--0.07, P=0.04).

Conclusion

Compared with PCD, EUSD has similar operation success rate, clinical effective rate, complication rate and recurrence rate in the treatment of PFC after pancreatic surgery, and can reduce the hospitalization time.It is a safe and feasible method for the treatment of PFC.

Key words: Peripancreatic fluid collection, Endoscopic ultrasound, Drainage, Percutaneous drainage, Meta analysis

Aijuan Fan, Haiping Mou. Systematic review and Meta-analysis of endoscopic ultrasound drainage for peripancreatic fluid collection after pancreatic surgery[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2022, 12(06): 361-366.

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URL: https://zhxhbyyxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-2015.2022.06.008

https://zhxhbyyxzz.cma-cmc.com.cn/EN/Y2022/V12/I06/361

Figures/Tables 9

References 24

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作者	发表时间	研究类型	病例数		男性/女性(例)
作者	发表时间	研究类型	EUSD	PCD	EUSD	PCD
Al Efishat^[10]	2019	回顾性队列	39	39	20/19	20/19
Azeem^[11]	2012	回顾性队列	15	33	8/7	14/19
Futagawa^[12]	2017	回顾性队列	12	21	5/7	17/4
Jürgensen^[13]	2018	回顾性队列	39	59	20/19	29/30
Kwon^[14]	2013	回顾性队列	12	14	4/8	5/9
Onodera^[15]	2012	回顾性队列	6	18	6/0	11/7
Tamura^[16]	2019	回顾性队列	13	28	10/3	16/12
作者	年龄(岁)		手术类型(例)				胰周液体积聚直径(cm)
作者	EUSD	PCD	远端胰腺切除	胰十二指肠切除	中段胰腺切除术	其他	EUSD	PCD
Al Efishat^[10]	53(17~85)	53(21~82)	48	20	6	4	NR	NR
Azeem^[11]	63(39~75)	65(43~83)	48	0	0	0	7(4~19)	6.4(2.8~16)
Futagawa^[12]	60(55~69)	66(59~74)	18	13	2	0	8.0	9.0
Jürgensen^[13]	62.1	55.6	NR	NR	NR	NR	4(1~12)	7(5~9)
Kwon^[14]	67.8	66.9	21	NR	NR	NR	8.9	10.9
Onodera^[15]	64.2±12.0	67.0±8.3	6	18	0	0	4.9(0.6~7.7)	7(3~14.7)
Tamura^[16]	53(17~85)	53(21~82)	23	18	0	0	7.53±1.96	7.26±2.36

作者	发表时间	研究类型	病例数		男性/女性(例)
作者	发表时间	研究类型	EUSD	PCD	EUSD	PCD
Al Efishat^[10]	2019	回顾性队列	39	39	20/19	20/19
Azeem^[11]	2012	回顾性队列	15	33	8/7	14/19
Futagawa^[12]	2017	回顾性队列	12	21	5/7	17/4
Jürgensen^[13]	2018	回顾性队列	39	59	20/19	29/30
Kwon^[14]	2013	回顾性队列	12	14	4/8	5/9
Onodera^[15]	2012	回顾性队列	6	18	6/0	11/7
Tamura^[16]	2019	回顾性队列	13	28	10/3	16/12
作者	年龄(岁)		手术类型(例)				胰周液体积聚直径(cm)
作者	EUSD	PCD	远端胰腺切除	胰十二指肠切除	中段胰腺切除术	其他	EUSD	PCD
Al Efishat^[10]	53(17~85)	53(21~82)	48	20	6	4	NR	NR
Azeem^[11]	63(39~75)	65(43~83)	48	0	0	0	7(4~19)	6.4(2.8~16)
Futagawa^[12]	60(55~69)	66(59~74)	18	13	2	0	8.0	9.0
Jürgensen^[13]	62.1	55.6	NR	NR	NR	NR	4(1~12)	7(5~9)
Kwon^[14]	67.8	66.9	21	NR	NR	NR	8.9	10.9
Onodera^[15]	64.2±12.0	67.0±8.3	6	18	0	0	4.9(0.6~7.7)	7(3~14.7)
Tamura^[16]	53(17~85)	53(21~82)	23	18	0	0	7.53±1.96	7.26±2.36

作者	选择				可比性C	结局			NOS评分
作者	S1	S2	S3	S4	可比性C	E1	E2	E3	NOS评分
Al Efishat^[10]	1	1	1	1	2	1	0	1	8
Azeem^[11]	1	1	1	1	2	1	1	1	9
Futagawa^[12]	1	1	1	1	2	1	0	0	7
Jürgensen^[13]	1	1	1	1	2	1	0	1	8
Kwon^[14]	1	1	1	1	2	1	1	1	9
Onodera^[15]	1	1	1	1	2	1	1	1	9
Tamura^[16]	1	1	1	1	2	1	1	1	9

作者	选择				可比性C	结局			NOS评分
作者	S1	S2	S3	S4	可比性C	E1	E2	E3	NOS评分
Al Efishat^[10]	1	1	1	1	2	1	0	1	8
Azeem^[11]	1	1	1	1	2	1	1	1	9
Futagawa^[12]	1	1	1	1	2	1	0	0	7
Jürgensen^[13]	1	1	1	1	2	1	0	1	8
Kwon^[14]	1	1	1	1	2	1	1	1	9
Onodera^[15]	1	1	1	1	2	1	1	1	9
Tamura^[16]	1	1	1	1	2	1	1	1	9

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