evidence/gaps
Cochrane · systematic review · CD011862

Antecolic versus retrocolic reconstruction after partial pancreaticoduodenectomy

Hüttner, FJ, Klotz, R, Ulrich, A, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Gut2 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 12.5%Low 6 · 75%Moderate 0 · 0%High 1 · 12.5%

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 2 versions

Summary of findings

Population: adults with any pancreatic diagnosis leading to an indication for elective (classical, pylorus‐preserving, pylorus‐resecting) partial pancreatoduodenectomy
8 questions
OutcomeEffectEvidenceStatus / GRADE
Delayed gastric emptying (all definitions)
OR 0.67 [0.41, 1.09]8 studies · 818 participantsLow
Downgraded: risk of bias
Mortality (within 30 days or 'in‐hospital')
no estimate extracted8 studies · 818 participantsHigh
Pancreatic fistula
OR 1.01 [0.73, 1.4]8 studies · 818 participantsLow
Downgraded: risk of bias
Postoperative haemorrhage
OR 0.87 [0.47, 1.59]6 studies · 742 participantsLow
Downgraded: risk of bias
Intra‐abdominal fluid collection, abscess
OR 1.11 [0.71, 1.74]7 studies · 788 participantsLow
Downgraded: risk of bias
Reoperations
OR 0.68 [0.34, 1.36]5 studies · 682 participantsLow
Downgraded: risk of bias
Length of postoperative hospital stay (days)
no estimate extracted8 studies · 818 participantsLow
Downgraded: risk of bias
Quality of life (EQ‐5D, EORTC QLQ‐C30 and PAN26, GIQLI at 2, 4 and 12 weeks after surgery)
no estimate extracted1 study · 73 participantsVery low
Downgraded: risk of bias