Research Article

Effect of the Type of Intraoperative Restrictive Fluid Management on the Outcome of Pancreaticoduodenectomy: A Systematic Review and Meta-Analysis

Table 1

Baseline characteristics of included studies.

AuthorPublished yearStudy typeAge (mean)ASA ≥ III (%)Surgical procedureRestrictive fluidLiberal fluidRestrictive group ()Liberal group ()Total ()Mortality

Michal Barak [7]2006Prospective study6163PDBalance 0 to +1000 mlBalance +1000 to +2000 ml14183230-day mortality
Mary Fischer [17]2010Prospective study64.528PD3900 ml6250 ml656513090-day mortality
Marcovalerio Melis [9]2011Retrospective analysis66.449PD<6000 ml>6000 ml8610218830-day mortality
Oliver S. Eng [18]2013Retrospective analysis64.5NRPD<13.5 ml/kg/hr>13.5 ml/kg/hr626212430-day mortality
Sizhen Wang [19]2014Retrospective analysis53.535PD<8.2 ml/kg/hr>8.2 ml/kg/hr9057147In-hospital
Ganapathy van Samkar [20]2015Prospective studyNR4P5 ml/kg/hr10 ml/kg/hr343266In-hospital, 6-year mortality
Florence Grant [10]2016Prospective study6542P6 mL/kg/h12 mL/kg/h166164330In-hospital, 60-day mortality
Mark A. Healy [8]2016Retrospective analysis67.177P<10 ml/kg/h>15 ml/kg/h16715231930-day mortality
Birte Kulemann [21]2017Retrospective analysis6635PD<6000 ml>6000 ml304249553In-hospital
In Woong Han [22]2017Retrospective analysis62NRPDActual IOF < planned IOFActual IOF ≥ planned IOF849818230-day mortality
Laurence Weinberg [23]2017Retrospective analysis6633P4.7 ml/kg/h7.8 ml/kg/h479814530-day mortality
Laurence Weinberg [24]2017Prospective study6573PD2050 ml4088 ml262652NR
Preetjote Gill [25]2017Retrospective analysis6428PD<10 mL/kg/h>10 mL/kg/h7612620230-day mortality
Stefano Andrianello [26]2018Prospective study6530PD2500 ml3700 ml6363126In-hospital

PD: pancreaticoduodenectomy; P: all pancreatectomy included; NR: not reported; IOF: intraoperative fluid.