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.
| Author | Published year | Study type | Age (mean) | ASA ≥ III (%) | Surgical procedure | Restrictive fluid | Liberal fluid | Restrictive group () | Liberal group () | Total () | Mortality |
| Michal Barak [7] | 2006 | Prospective study | 61 | 63 | PD | Balance 0 to +1000 ml | Balance +1000 to +2000 ml | 14 | 18 | 32 | 30-day mortality | Mary Fischer [17] | 2010 | Prospective study | 64.5 | 28 | PD | 3900 ml | 6250 ml | 65 | 65 | 130 | 90-day mortality | Marcovalerio Melis [9] | 2011 | Retrospective analysis | 66.4 | 49 | PD | <6000 ml | >6000 ml | 86 | 102 | 188 | 30-day mortality | Oliver S. Eng [18] | 2013 | Retrospective analysis | 64.5 | NR | PD | <13.5 ml/kg/hr | >13.5 ml/kg/hr | 62 | 62 | 124 | 30-day mortality | Sizhen Wang [19] | 2014 | Retrospective analysis | 53.5 | 35 | PD | <8.2 ml/kg/hr | >8.2 ml/kg/hr | 90 | 57 | 147 | In-hospital | Ganapathy van Samkar [20] | 2015 | Prospective study | NR | 4 | P | 5 ml/kg/hr | 10 ml/kg/hr | 34 | 32 | 66 | In-hospital, 6-year mortality | Florence Grant [10] | 2016 | Prospective study | 65 | 42 | P | 6 mL/kg/h | 12 mL/kg/h | 166 | 164 | 330 | In-hospital, 60-day mortality | Mark A. Healy [8] | 2016 | Retrospective analysis | 67.1 | 77 | P | <10 ml/kg/h | >15 ml/kg/h | 167 | 152 | 319 | 30-day mortality | Birte Kulemann [21] | 2017 | Retrospective analysis | 66 | 35 | PD | <6000 ml | >6000 ml | 304 | 249 | 553 | In-hospital | In Woong Han [22] | 2017 | Retrospective analysis | 62 | NR | PD | Actual IOF < planned IOF | Actual IOF ≥ planned IOF | 84 | 98 | 182 | 30-day mortality | Laurence Weinberg [23] | 2017 | Retrospective analysis | 66 | 33 | P | 4.7 ml/kg/h | 7.8 ml/kg/h | 47 | 98 | 145 | 30-day mortality | Laurence Weinberg [24] | 2017 | Prospective study | 65 | 73 | PD | 2050 ml | 4088 ml | 26 | 26 | 52 | NR | Preetjote Gill [25] | 2017 | Retrospective analysis | 64 | 28 | PD | <10 mL/kg/h | >10 mL/kg/h | 76 | 126 | 202 | 30-day mortality | Stefano Andrianello [26] | 2018 | Prospective study | 65 | 30 | PD | 2500 ml | 3700 ml | 63 | 63 | 126 | In-hospital |
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PD: pancreaticoduodenectomy; P: all pancreatectomy included; NR: not reported; IOF: intraoperative fluid.
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