DPPHR

AcronymDefinition
DPPHRDuodenum-Preserving Pancreatic Head Resection (surgery)
References in periodicals archive ?
Four included studies reported the incidence of wound infection after PD/PPPD and DPPHR. [I.sup.2] ([I.sup.2] = 40%) revealed no obvious heterogeneity among these studies; therefore using a fixed model, there was no significant difference between DPPHR and PD/PPPD group in the incidence of wound infection (OR = 1.00; 95% CI, 0.46-2.17; P = 0.99) (Figure 5).
Five included studies reported the rate of exocrine insufficiency after PD/PPPD and DPPHR. Pancreatic exocrine insufficiency was defined as diarrhea and steatorrhea, which improved with pancreatic enzyme replacement.
Five included studies reported the rate of weight gain after PD/PPPD and DPPHR. In these included studies, the rate of weight gain was estimated at least 6 months after operation.
Four studies reported the incidence of delayed gastric emptying after DPPHR and PD/PPPD; there was no significant heterogeneity among studies ([I.sup.2] = 0%); therefore fixed model was applied.
Five included studies reported the postoperative hospitalization time of PD/PPPD and DPPHR. 12 ([I.sup.2] = 35%) revealed no obvious heterogeneity among these studies; therefore, using a fixed model, there was significant difference between DPPHR and PD/PPPD group in hospital time (OR = -4.27; 95% CI, -5.17-3.37; P < 0.00001) (Figure 10).
Ten included studies reported the incidence of postoperative mortality, The results of metaanalysis show that there is no difference between DPPHR and PD/PPPD group in the incidence of postoperative mortality (OR = 0.64; 95% CI, 0.23-1.83; P = 0.41).
The result of our meta-analysis showed that PD/PPPD and DPPHR were not significantly different with regard to pain relief, pancreatic fistulae, infection, or postoperative mortality.
Our results revealed DPPHR to have a low prevalence of delayed gastric emptying compared with PD.
Our meta-analysis showed that DPPHR had more advantages than PD in terms of improving QoL.
Our meta-analysis revealed that DPPHR was more beneficial than PD/PPPD in reducing the prevalence of delayed gastric emptying; endocrine insufficiency; duration of postoperative hospitalization.