Comparison of the short-term outcomes between delta-shaped anastomosis and conventional Billroth I anastomosis after laparoscopic distal gastrectomy: A meta-analysis

Medicine
Wei DingXue-Zhong Xu

Abstract

The conventional Billroth I anastomosis (cBIA) after laparoscopic distal gastrectomy (LDG) is performed through circular staple extracorporeally. Now, delta-shaped anastomosis (DA), which is performed using a linear stapler intracorporeally, becomes popular. We conducted a meta-analysis to compare the effectiveness and safety between the 2 techniques. A systematic literature search was performed using PubMed, Ovid, and the Cochrane Library Central. Participants of any age and sex, who underwent DA, or cBIA after LDG, were considered following inclusion criteria. A total of 11 articles, published between 2010 and 2017, fulfilled the selection criteria. The total sample size of these studies was 2729 cases, including DA group 1008 cases and cBIA group 1721 cases. Compared to cBIA group, patients in DA group had less blood loss (mean deviation [MD] = -0.68, 95% confidence interval [CI] = -0.15 to -0.31, P < .001), fewer administration of analgesics (MD = -0.82, 95% CI = -1.58 to -0.05, P = .04), lower NRS score on POD 1 (MD = -0.84, 95% CI = -1.34 to -0.33, P = .001), lower NRS score on POD 3 (MD = -0.38, 95% CI = -0.50 to -0.26, P < .001). Furthermore, compared to cBIA group, obese patients in DA group had fewer total number of c...Continue Reading

References

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Citations

Sep 7, 2018·Expert Review of Anticancer Therapy·Lei Huang, Tuan-Jie Li
Jul 2, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Li-Cheng WangXian-Ping Zhou
Jan 23, 2020·World Journal of Gastrointestinal Oncology·Jian ShenJian-Ping Zhang
Jan 27, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Marie-Christin WeberDaniel Reim
Nov 19, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chia-Hung WuYi-Ming Shyr
Feb 5, 2021·Journal of the Anus, Rectum and Colon·Pramod NepalShoji Natsugoe

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Methods Mentioned

BETA
surgical resection

Software Mentioned

RevMan

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