Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis

doi:10.1007/s00384-008-0532-y

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	Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis
	Hao, XY; Yang, KH; Guo, TK; Ma, B; Tian, JH; Li, HL; Guo, TK (reprint author), Peoples Hosp Gansu Prov, Dong Gang W Rd 160, Lanzhou 730000, Gansu, Peoples R China.
刊名	INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
	2008-12
卷号	23 期号:12 页码:1159-1165
关键词	Anastomosis leakage Omentoplasty Colorectal anastomosis Meta-analysis
ISSN号	0179-1958
DOI	10.1007/s00384-008-0532-y
文献子类	Article
英文摘要	Whether omentoplasty after colorectal anastomosis can reduce anastomotic leakage is controversial. Our aim was to do a meta-analysis of randomized controlled trials to compare anastomotic leakage rates between an omentoplasty group and a no omentoplasty group after colorectal anastomosis. We searched the Cochrane Center Register of Controlled Trials, PubMed, EMBASE, and Chinese Biomedical Literature Database up to June 2008 in any language. Reference lists from all selected articles were also examined. Randomized controlled trials of omentoplasty in the prevention of anastomotic leakage after colorectal resection were selected and evaluated by two investigators. Analyses were performed using Review Manager 4.2. Three randomized controlled trials totaling 943 participants were included. Meta-analysis results showed that no statistically significant difference was found between the omentoplasty group and the no omentoplasty group in radiological anastomotic leakage (RR 0.76, 95% CI 0.41 to 1.40), death (RR 1.01, 95% CI 0.55 to 1.86), and repeat operation (RR 0.60, 95% CI 0.35 to 1.05), except for clinical anastomotic leakage (RR 0.36, 95% CI 0.16 to 0.78). Based on available data from a small number of trials, there is not enough evidence to say whether or not omentoplasty should be used to reduce anastomotic leakage after colorectal resection. The decision as to whether we should continue to use this technique might remain a matter of surgical judgment. Therefore, the results still need to be confirmed by future multicenter, well-designed trials.
学科主题	Gastroenterology & Hepatology ; Surgery
出版地	NEW YORK
语种	英语
WOS记录号	WOS:000261030200003
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/121394]
专题	基础医学院_期刊论文
通讯作者	Guo, TK (reprint author), Peoples Hosp Gansu Prov, Dong Gang W Rd 160, Lanzhou 730000, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	Hao, XY,Yang, KH,Guo, TK,et al. Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis[J]. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE,2008,23(12):1159-1165.
APA	Hao, XY.,Yang, KH.,Guo, TK.,Ma, B.,Tian, JH.,...&Guo, TK .(2008).Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis.INTERNATIONAL JOURNAL OF COLORECTAL DISEASE,23(12),1159-1165.
MLA	Hao, XY,et al."Omentoplasty in the prevention of anastomotic leakage after colorectal resection: a meta-analysis".INTERNATIONAL JOURNAL OF COLORECTAL DISEASE 23.12(2008):1159-1165.