文献类型：期刊文献

英文题名：Omentoplasty Decreases Leak Rate After Esophagectomy: a Meta-analysis

作者：Tuo, Guangxin[1,2];Jin, Gang[2];Pang, Yao[2];Wang, Wenhao[2];Zhu, Xiaolei[1,2];Zhang, Hongyi[2];Yang, Yi[1,2];Wu, Peng[1,2];Zhu, Zijiang[2]

第一作者：Tuo, Guangxin

通信作者：Zhu, ZJ[1]

机构：[1]Gansu Univ Tradit Chinese Med, Dept Clin Med, Lanzhou 730000, Peoples R China;[2]Gansu Prov Hosp, Dept Thorac Surg 2, Lanzhou 730000, Peoples R China

第一机构：甘肃中医药大学临床医学院

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Thorac Surg 2, Lanzhou 730000, Peoples R China.

年份：2020

卷号：24

期号：6

起止页码：1237

外文期刊名：JOURNAL OF GASTROINTESTINAL SURGERY

收录：;Scopus(收录号：2-s2.0-85067666280);WOS:【SCI-EXPANDED(收录号:WOS:000538561700003)】；

语种：英文

外文关键词：Omentoplasty; Esophagectomy; Anastomotic leakage; Meta-analysis

摘要：Objective To compare the efficacy of omentoplasty with non-omentoplasty in the prevention of postoperative anastomotic leakage, and to investigate the safety of omentoplasty. Methods Literature searches were performed of the Medline, EMBASE, and Cochrane Library databases. Studies that compared the efficacy of omentoplasty and non-omentoplasty after esophagectomy were selected. A meta-analysis was performed on anastomotic leakage, anastomotic stenosis, hospital mortality, and length of hospital stay. Results were reported as odds ratio (OR), weighted mean difference (WMD), or relative risk (RR), with 95% confidence intervals. Results Six studies involving a total of 1608 patients met inclusion criteria. Compared with the non-omentoplasty group, the incidence of anastomotic leakage in the omentoplasty group (OR, 0.37; 95% CI, 0.23-0.60; P < 0.0001) was significantly reduced and the length of hospital stay (WMD, 2.13; 95% CI, 3.57-0.69; P = 0.004) was significantly shortened. However, there was no significant difference in the incidence of anastomotic strictures (OR, 0.82; 95% CI, 0.37-1.80; P = 0.61) or in-hospital mortality (OR, 0.61; 95% CI, 0.25-1.51; P = 0.29). Conclusions Omentoplasty after esophagectomy is a safe and effective method to prevent anastomotic leakage.