Autologous but not Fibrin Sealant Patches for Stump Coverage Reduce Clinically Relevant Pancreatic Fistula in Distal Pancreatectomy: A Systematic Review and Meta-analysis

• Published in: World journal of surgery 2016-11, Vol.40 (11), p.2771-2781
• Main Authors: Weniger, Maximilian, D’Haese, Jan Goesta, Crispin, Alexander, Angele, Martin Kurt, Werner, Jens, Hartwig, Werner
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Cardiac Surgery; Distal Pancreatectomy; Fibrin Sealant; Fibrin Tissue Adhesive; General Surgery; Humans; Medicine; Medicine & Public Health; Original Scientific Report; Pancreatectomy - adverse effects; Pancreatic Fistula; Pancreatic Fistula - etiology; Pancreatic Fistula - prevention & control; Pasireotide; Randomized Controlled Trials as Topic; Risk Ratio; Surgery; Surgical Flaps; Thoracic Surgery; Transplantation, Autologous; Vascular Surgery
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-016-3612-0

Background Postoperative pancreatic fistula (POPF) causes significant morbidity and mortality after distal pancreatectomy. Patch coverage of the pancreatic stump is often used with the intention to prevent POPF. Despite numerous investigations, the effects of patch coverage remain unclear. The present meta-analysis aims to clarify the effects of patch coverage in distal pancreatectomy on the incidence of POPF. Methods A systematic search of MEDLINE/PubMed and the Cochrane Database according to the PRISMA Statement was performed. Subsequently a meta-analysis on rates and overall incidence of POPF and length of hospital stay was carried out. By applying the inverse variance weighting method, the combined effect size and 95 % confidence interval were calculated. Heterogeneity was assessed using I 2 statistics. Results Five randomized controlled trials and six observational clinical studies were included for final analysis. A cumulative incidence of 43 % of POPF grades A–C was identified. Patch coverage in distal pancreatectomy is significantly associated with a decreased rate of POPF grade C ( p  = 0.006). Patches of autologous vascularized tissue significantly reduce the overall incidence of POPF ( p  = 0.04) and clinically relevant POPF grade B and C ( p  = 0.002). Fibrin sealant patches do not influence rates of POPF after distal pancreatectomy. None of the outcomes evaluated showed adverse results for the patch group. Conclusions Patch coverage after distal pancreatectomy can reduce the rate of POPF. Patch coverage with autologous vascularized tissue but not fibrin sealant patches may be used to reduce clinically relevant POPF and postoperative morbidity in distal pancreatectomy.