TY - JOUR
T1 - Minimally invasive necrosectomy versus conventional surgery in the treatment of infected pancreatic necrosis
T2 - A systematic review and a meta-analysis of comparative studies
AU - Cirocchi, Roberto
AU - Trastulli, Stefano
AU - Desiderio, Jacopo
AU - Boselli, Carlo
AU - Parisi, Amilcare
AU - Noya, Giuseppe
AU - Falconi, Massimo
PY - 2013/2
Y1 - 2013/2
N2 - AIM: The purpose of this meta-analysis and systematic review is to compare minimally invasive necrosectomy (MIN) versus open necrosectomy (ON) surgery for infected necrosis of acute pancreatitis. METHODS: One randomized controlled trial and 3 clinical controlled trials were selected, with a total of 336 patients (215 patients who underwent MIN and 121 patients underwent ON) included after searching in the following databases: Medline, Embase, Cochrane Central Register of Controlled Trials, BioMed Central, Science Citation Index (from inception to August 2011), Greynet, SIGLE (System for Information on Grey Literature in Europe), National Technological Information Service, British Library Integrated catalogue, and the Current Controlled Trials. Statistical analysis is performed using the odds ratio (OR) and weighted mean difference with 95% confidence interval (CI). RESULTS: After the analysis of the data amenable to polling, significant advantages were found in favor of the MIN in terms of: incidence of multiple organ failure (OR, 0.16; 95% CI, 0.06-0.39) (P
AB - AIM: The purpose of this meta-analysis and systematic review is to compare minimally invasive necrosectomy (MIN) versus open necrosectomy (ON) surgery for infected necrosis of acute pancreatitis. METHODS: One randomized controlled trial and 3 clinical controlled trials were selected, with a total of 336 patients (215 patients who underwent MIN and 121 patients underwent ON) included after searching in the following databases: Medline, Embase, Cochrane Central Register of Controlled Trials, BioMed Central, Science Citation Index (from inception to August 2011), Greynet, SIGLE (System for Information on Grey Literature in Europe), National Technological Information Service, British Library Integrated catalogue, and the Current Controlled Trials. Statistical analysis is performed using the odds ratio (OR) and weighted mean difference with 95% confidence interval (CI). RESULTS: After the analysis of the data amenable to polling, significant advantages were found in favor of the MIN in terms of: incidence of multiple organ failure (OR, 0.16; 95% CI, 0.06-0.39) (P
KW - Acute pancreatitis
KW - minimally invasive necrosectomy
KW - necrosectomy
KW - open necrosectomy
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U2 - 10.1097/SLE.0b013e3182754bca
DO - 10.1097/SLE.0b013e3182754bca
M3 - Article
C2 - 23386143
AN - SCOPUS:84873638757
VL - 23
SP - 8
EP - 20
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
SN - 1530-4515
IS - 1
ER -