Evidence map›Paper›PMID 39300450›Full record

ArticleBMC surgery2024

Whether T-tube biliary drainage is necessary after pancreaticoduodenectomy: a single-center retrospective study.

Xin Luo, Xinbin Zhuo, Xianchao Lin, Ronggui Lin, Yuanyuan Yang, Congfei Wang, Haizong Fang, Heguang Huang, Fengchun Lu

Abstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xin Luo *Department of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Xinbin Zhuo *Department of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Xianchao LinDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Ronggui LinDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Yuanyuan YangDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Congfei WangDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Haizong FangDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China.
Heguang HuangDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China. Heguanghuang2@163.com.
Fengchun LuDepartment of General Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, China. fengchun160@fjmu.edu.cn.

Funding

Fujian Provincial Department of Science and Technology 2021Y9058National Natural Science Foundation of China 82073139Natural Science Foundation of Fujian Province 2020J02054
6 · The paper itself

Abstract

backgroundPostoperative complications of pancreaticoduodenectomy (PD) are still a thorny problem. This study aims to verify the preventative impact of T-tube on them.

methodsThe electronic medical records and follow-up data of patients who received pancreaticoduodenectomy in our center from July 2016 to June 2020 were reviewed. According to whether T tube was placed during the operation, the patients were divided into T-tube group and not-T-tube group. Propensity score matching analysis was performed to minimize selection bias.

resultsA total of 330 patients underwent PD (Not-T-tube group =226, T-tube group=104). Propensity score matching resulted in 222 patients for further analysis (Not-T-tube group =134, T-tube group=88). Patients' demographics were comparable in the matched cohorts. Significantly higher incidences of clinically relevant postoperative pancreatic fistula (CR-POPF) ((14 (10.45%) VS 20 (22.73%)), P=0.013) were observed in the T-tube group. The total incidence of biliary anastomotic stricture (BAS) was 3.15%. The incidence was slightly lower in the T-tube group, but there was no statistically significant differentiation (6 (4.48%) VS 1 (1.14%), P=0.317).

conclusionsIt is not feasible to prevent postoperative complications with the application of a T-tube in PD.

Indexed as

DrainagePancreatic FistulaPancreaticoduodenectomyPostoperative ComplicationsPropensity ScoreAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesBiliary anastomotic stricturePancreaticoduodenectomyT-tube

Identifiers

PMID39300450
PMCPMC11414196

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.