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.