What do systematic reviews say?

LHC + Dor vs LHC + Toupet

LHC + Dor showed no clear difference in severe postoperative dysphagia compared with LHC + Toupet (low certainty).

• Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
  RR 0.78 [0.19, 3.15]
  3 studies · 123 participants
  Low

LHC + Dor vs LHC + Nissen

LHC + Dor showed no clear difference in postoperative pathological acid reflux compared with LHC + Nissen (low certainty).

• Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
  RR 4.72 [0.23, 96.59]
  1 study · 138 participants
  Low

LHC + Dor vs LHC + Nissen

LHC + Dor leads to lower severe postoperative dysphagia compared with LHC + Nissen (high certainty).

• Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
  RR 0.19 [0.04, 0.83]
  1 study · 138 participants
  High

LHC + Dor vs LHC + angle of His accentuation

The review found no eligible studies for this question.

• Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

LHC + Dor vs LHC + angle of His accentuation

LHC + Dor showed no clear difference in severe postoperative dysphagia compared with LHC + angle of His accentuation (moderate certainty).

• Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
  RR 1.56 [0.27, 8.95]
  1 study · 110 participants
  Moderate

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes rate of POPF (grade B or C defined according to the 2005 ISGPF… compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 1.45 [0.64, 3.26]
  7 studies · 1122 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 210 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

The review found no eligible studies for this question.

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes rate of surgical reintervention compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 1.93 [0.18, 20.91]
  1 study · 210 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes rate of postoperative bleeding compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 2.89 [0.12, 70.11]
  1 study · 210 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

It is very uncertain whether duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart… changes overall rate of surgical complications compared with duct‐to‐mucosa pancreaticojejunostomy using the traditional… (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 1.1 [0.8, 1.51]
  1 study · 210 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 210 participants
  Very low

Duct‐to‐mucosa pancreaticojejunostomy using the modified Blumgart technique vs duct‐to‐mucosa pancreaticojejunostomy using the traditional interrupted technique

The review found no eligible studies for this question.

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes postoperative mortality compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 0.77 [0.39, 1.49]
  10 studies · 1472 participants
  Very low

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

The review found no eligible studies for this question.

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes rate of surgical reintervention compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 1.12 [0.65, 1.95]
  10 studies · 1472 participants
  Very low

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes rate of postoperative bleeding compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 0.85 [0.51, 1.42]
  9 studies · 1275 participants
  Very low

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes overall rate of surgical complications compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  RR 1.12 [0.92, 1.36]
  5 studies · 750 participants
  Very low

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

It is very uncertain whether duct‐to‐mucosa changes length of hospital stay (days) compared with invagination pancreaticojejunostomy (very low certainty).

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 658 participants
  Very low

Duct‐to‐mucosa vs invagination pancreaticojejunostomy

The review found no eligible studies for this question.

• Duct‐to‐mucosa versus other types of pancreaticojejunostomy for the prevention of postoperative pancreatic fistula… 2022 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found