Systematic review of enhanced recovery after surgery in perioperative management of pancreaticoduodenectomy: a meta-analysis of randomized controlled trials and non-randomized controlled trials

Q4 Nursing 中华临床营养杂志 Pub Date : 2018-02-28 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.01.001

Tao Zhang, Liang Yu, Shunli Fan, Fei Pan, Dong Zhang, Q. He

{"title":"Systematic review of enhanced recovery after surgery in perioperative management of pancreaticoduodenectomy: a meta-analysis of randomized controlled trials and non-randomized controlled trials","authors":"Tao Zhang, Liang Yu, Shunli Fan, Fei Pan, Dong Zhang, Q. He","doi":"10.3760/CMA.J.ISSN.1674-635X.2018.01.001","DOIUrl":null,"url":null,"abstract":"Objective \nTo systematically review the safety and efficacy of enhanced recovery after surgery (ERAS) in perioperative management of pancreaticoduodenectomy. \n \n \nMethods \nA search was performed in databases (including PubMed, EMASE, Cochrane library, Sinomed, Wangfang, VIP, and CNKI) for randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) up to September 2016 on use of ERAS in patients undergoing pancreaticoduodenectomy. After quality evaluation and data extraction, meta-analysis was performed using RevMan 5.3. \n \n \nResults \nFour RCTs and Twelve NRCTs involving a total of 2 828 patients were included. 1 401 patients were in the ERAS group, and 1 427 in the control group. Meta-analysis results showed that compared with the control group, the ERAS group had shorter length of hospital stay (SMD=-0.36, 95% CI=-0.44--0.28, P 0.05). \n \n \nConclusion \nIt is reasonably safe and efficacious to adopt ERAS in periopetative management of patients undergoing pancreaticoduodenectomy. \n \n \nKey words: \nEnhanced recovery after surgery; Pancreaticoduodenectomy; Perioperative; Meta-analysis","PeriodicalId":9877,"journal":{"name":"中华临床营养杂志","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2018-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华临床营养杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1674-635X.2018.01.001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Nursing","Score":null,"Total":0}

引用次数: 1

Abstract

Objective To systematically review the safety and efficacy of enhanced recovery after surgery (ERAS) in perioperative management of pancreaticoduodenectomy. Methods A search was performed in databases (including PubMed, EMASE, Cochrane library, Sinomed, Wangfang, VIP, and CNKI) for randomized controlled trials (RCTs) and non-randomized controlled trials (NRCTs) up to September 2016 on use of ERAS in patients undergoing pancreaticoduodenectomy. After quality evaluation and data extraction, meta-analysis was performed using RevMan 5.3. Results Four RCTs and Twelve NRCTs involving a total of 2 828 patients were included. 1 401 patients were in the ERAS group, and 1 427 in the control group. Meta-analysis results showed that compared with the control group, the ERAS group had shorter length of hospital stay (SMD=-0.36, 95% CI=-0.44--0.28, P 0.05). Conclusion It is reasonably safe and efficacious to adopt ERAS in periopetative management of patients undergoing pancreaticoduodenectomy. Key words: Enhanced recovery after surgery; Pancreaticoduodenectomy; Perioperative; Meta-analysis

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

胰十二指肠切除术围手术期术后恢复增强的系统评价：随机对照试验和非随机对照试验的荟萃分析

目的系统评价增强术后恢复（ERAS）在胰十二指肠切除术围手术期管理中的安全性和有效性。方法检索截至2016年9月的数据库（包括PubMed、EMASE、Cochrane library、Sinomed、Wangfang、VIP和CNKI）中关于ERAS在胰十二指肠切除术患者中使用的随机对照试验（RCT）和非随机对照试验。在质量评估和数据提取后，使用RevMan 5.3进行荟萃分析。结果纳入4例随机对照试验和12例NRCT，共2288例。ERAS组为1401例，对照组为1427例。荟萃分析结果显示，与对照组相比，ERAS组的住院时间更短（SMD=-0.36，95%CI=-0.44--0.28，P 0.05）。关键词：术后恢复增强；胰十二指肠切除术；围手术期；Meta分析

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊