Cochrane · systematic review · CD006053

Pylorus‐preserving pancreaticoduodenectomy (pp Whipple) versus pancreaticoduodenectomy (classic Whipple) for surgical treatment of periampullary and pancreatic carcinoma

Hüttner, FJ, Fitzmaurice, C, Schwarzer, G, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gut3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Postoperative mortality and DGE after surgical treatment for periampullary or pancreatic carcinoma

Population: people with surgical treatment for periampullary or pancreatic carcinoma
3 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative mortality
OR 0.64 [0.26, 1.54]7 studies · 464 participantsModerate
Downgraded: imprecision
Pancreatic fistula
OR 0.95 [0.49, 1.84]7 studies · 468 participantsLow
Downgraded: imprecision, inconsistency
DGE
OR 3.03 [1.05, 8.7]7 studies · 459 participantsLow
Downgraded: imprecision, inconsistency

Survival after surgical treatment for periampullary or pancreatic carcinoma

Population: people with surgical treatment for periampullary or pancreatic carcinoma
1 question
OutcomeEffectEvidenceStatus / GRADE
Overall survival
HR 0.84 [0.61, 1.16]3 studies · 284 participantsLow
Downgraded: risk of bias, imprecision

Operating time, intraoperative blood loss, and red blood cell transfusion in surgical treatment for periampullary or pancreatic carcinoma

Population: people with surgical treatment for periampullary or pancreatic carcinoma
3 questions
OutcomeEffectEvidenceStatus / GRADE
Intraoperative blood loss (millilitres)
no estimate extracted5 studies · 404 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Red blood cell transfusion (units)
no estimate extracted5 studies · 273 participantsLow
Downgraded: risk of bias, imprecision
Operating time (minutes)
no estimate extracted7 studies · 472 participantsLow
Downgraded: risk of bias, imprecision, inconsistency