Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis
Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resect...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Zhou, Yanming [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2012 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 36(2012), 4 vom: 14. Feb., Seite 884-891 |
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| Übergeordnetes Werk: |
volume:36 ; year:2012 ; number:4 ; day:14 ; month:02 ; pages:884-891 |
| Links: |
|---|
| DOI / URN: |
10.1007/s00268-012-1461-z |
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SPR003437442 |
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| 520 | |a Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. | ||
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10.1007/s00268-012-1461-z doi (DE-627)SPR003437442 (SPR)s00268-012-1461-z-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. Pancreatic Cancer (dpeaa)DE-He213 Pancreatic Fistula (dpeaa)DE-He213 Pancreatic Resection (dpeaa)DE-He213 Superior Mesenteric Vein (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Zhiming aut Liu, Yujian aut Li, Bin aut Xu, Donghui aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 4 vom: 14. Feb., Seite 884-891 (DE-627)SPR003391159 nnns volume:36 year:2012 number:4 day:14 month:02 pages:884-891 https://dx.doi.org/10.1007/s00268-012-1461-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 4 14 02 884-891 |
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10.1007/s00268-012-1461-z doi (DE-627)SPR003437442 (SPR)s00268-012-1461-z-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. Pancreatic Cancer (dpeaa)DE-He213 Pancreatic Fistula (dpeaa)DE-He213 Pancreatic Resection (dpeaa)DE-He213 Superior Mesenteric Vein (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Zhiming aut Liu, Yujian aut Li, Bin aut Xu, Donghui aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 4 vom: 14. Feb., Seite 884-891 (DE-627)SPR003391159 nnns volume:36 year:2012 number:4 day:14 month:02 pages:884-891 https://dx.doi.org/10.1007/s00268-012-1461-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 4 14 02 884-891 |
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10.1007/s00268-012-1461-z doi (DE-627)SPR003437442 (SPR)s00268-012-1461-z-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. Pancreatic Cancer (dpeaa)DE-He213 Pancreatic Fistula (dpeaa)DE-He213 Pancreatic Resection (dpeaa)DE-He213 Superior Mesenteric Vein (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Zhiming aut Liu, Yujian aut Li, Bin aut Xu, Donghui aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 4 vom: 14. Feb., Seite 884-891 (DE-627)SPR003391159 nnns volume:36 year:2012 number:4 day:14 month:02 pages:884-891 https://dx.doi.org/10.1007/s00268-012-1461-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 4 14 02 884-891 |
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10.1007/s00268-012-1461-z doi (DE-627)SPR003437442 (SPR)s00268-012-1461-z-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. Pancreatic Cancer (dpeaa)DE-He213 Pancreatic Fistula (dpeaa)DE-He213 Pancreatic Resection (dpeaa)DE-He213 Superior Mesenteric Vein (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Zhiming aut Liu, Yujian aut Li, Bin aut Xu, Donghui aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 4 vom: 14. Feb., Seite 884-891 (DE-627)SPR003391159 nnns volume:36 year:2012 number:4 day:14 month:02 pages:884-891 https://dx.doi.org/10.1007/s00268-012-1461-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 4 14 02 884-891 |
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10.1007/s00268-012-1461-z doi (DE-627)SPR003437442 (SPR)s00268-012-1461-z-e DE-627 ger DE-627 rakwb eng Zhou, Yanming verfasserin aut Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2012 Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. Pancreatic Cancer (dpeaa)DE-He213 Pancreatic Fistula (dpeaa)DE-He213 Pancreatic Resection (dpeaa)DE-He213 Superior Mesenteric Vein (dpeaa)DE-He213 Weighted Mean Difference (dpeaa)DE-He213 Zhang, Zhiming aut Liu, Yujian aut Li, Bin aut Xu, Donghui aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 36(2012), 4 vom: 14. Feb., Seite 884-891 (DE-627)SPR003391159 nnns volume:36 year:2012 number:4 day:14 month:02 pages:884-891 https://dx.doi.org/10.1007/s00268-012-1461-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 36 2012 4 14 02 884-891 |
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Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis |
| abstract |
Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. © Société Internationale de Chirurgie 2012 |
| abstractGer |
Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. © Société Internationale de Chirurgie 2012 |
| abstract_unstemmed |
Background Pancreatectomy combined with superior mesenteric vein–portal vein resection (VR) for pancreatic cancer remains a matter of debate. The present study is a meta-analysis of the available evidence. Methods Articles published until end of March 2011, comparing the results of pancreatic resections with VR versus without VR, were searched. Pooled odds ratios (OR) and weighted mean differences (WMD; with 95% Confidence Intervals [95% CI]) were calculated using either the fixed effects model or the random effects model. Results Nineteen nonrandomized studies met the inclusion criteria, comprising 2,247 patients. There was no difference in perioperative morbidity (OR: 0.95; 95% CI: 0.74–1.21; P = 0.67), mortality (OR: 1.19; 95% CI: 0.73–1.96; P = 0.48), or 5-year overall survival (OR: 0.57; 95% CI: 0.32–1.02; P = 0.06) between patients with VR and those without VR. Conclusions Pancreatectomy combined with VR resection for pancreatic cancer is justified because it can result in good perioperative outcome and long-term survival comparable to that obtained with standard resection. Owing to the selection bias and low level of clinical evidence available so far, the results should be interpreted with caution. © Société Internationale de Chirurgie 2012 |
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| title_short |
Pancreatectomy Combined with Superior Mesenteric Vein–Portal Vein Resection for Pancreatic Cancer: A Meta-analysis |
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https://dx.doi.org/10.1007/s00268-012-1461-z |
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Zhang, Zhiming Liu, Yujian Li, Bin Xu, Donghui |
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10.1007/s00268-012-1461-z |
| up_date |
2024-07-03T19:29:16.264Z |
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