Table 4 Results of subgroup analysis.

From: Blumgart anastomosis reduces the incidence of pancreatic fistula after pancreaticoduodenectomy: a systematic review and meta-analysis

Outcome of interest

Study

Patient

Effect estimate

Heterogeneity

OR/WMD = (95%CI)

P

I2%

P

Blumgart anastomosis versus Cattell–Warren anastomosis

Primary outcomes

POPF(B/C)

4

547

0.28 (0.15, 0.52)

 < 0.0001

41%

0.17

Grade C pancreatic fistula

2

161

0.19 (0.03, 1.09)

0.06

48%

0.17

Secondary outcomes

Operative time

2

269

− 57.99 (− 114.22,1.76)

0.04

81%

0.02

Blood loss

3

473

− 255.09 (− 695.01, − 184.83)

0.26

89%

0.0002

Postoperative hemorrhage

3

473

0.29 (0.12,0.72)

0.008

0%

0.64

DGE

2

291

0.26 (0.10,0.68)

0.006

0%

0.9

Bile leakage

3

473

0.63 (0.21,1.88)

0.41

0%

0.54

Intra-abdominal abscess

3

473

0.53 (0.29,0.98)

0.04

2%

0.36

Wound infection

3

473

0.44 (0.09,2.21)

0.32

83%

0.003

Morbidity

2

269

0.64 (0.27, 1.54)

0.32

64%

0.09

Major morbidity

2

278

0.18 (0.01,3.38)

0.25

76%

0.04

Mortality

3

297

0.18 (0.05, 0.65)

0.009

0%

0.97

Reoperation

2

210

0.16 (0.06, 0.42)

0.0002

0%

0.9

Postoperative hospital stay

2

291

− 4.81 (− 21.66, 12.05)

0.58

93%

0.0001

Blumgart anastomosis versus Kakita anastomosis

Primary outcomes

POPF (B/C)

5

1199

0.26 (0.09,0.74)

0.01

89%

 < 0.00001

POPF (B/C) in soft pancreas

3

531

0.30 (0.07,1.39)

0.12

90%

 < 0.0001

Grade C pancreatic fistula

2

442

1.11 (0.41,2.99)

0.84

35%

0.21

Secondary outcomes

Operative time

4

928

− 19.08 (− 32.11, − 6.05)

0.004

45%

0.14

Blood loss

5

1199

− 34.28 (− 62.35, − 6.02)

0.02

0%

0.63

Postoperative hemorrhage

4

959

0.58 (0.21,1.60)

0.29

27%

0.25

DGE

3

757

0.81 (0.18,3.52)

0.77

72%

0.03

Intra-abdominal abscess

3

757

0.36 (0.23,0.56)

 < 0.00001

0%

0.89

Wound infection

3

757

0.44 (0.28,0.69)

0.004

69%

0.04

Morbidity

2

396

065 (032,1.35)

0.25

92%

0.0005

Major morbidity

2

517

0.72 (0.20,2.65)

0.63

89

0.003

Mortality

4

928

0.91 (0.20,4.08)

0.9

0%

0.63

Reoperation

4

928

0.68 (0.22,2.09

0.5

0%

0.89

Postoperative hospital stay

5

1199

− 6.44 (− 12.50, − 0.39)

0.04

90%

 < 0.00001

Blumgart anastomosis versus invagination pancreaticojejunostomy

Primary outcomes

POPF (B/C)

2

365

0.43 (0.21, 0.76)

0.004

0%

0.67

Grade C pancreatic fistula

2

365

0.24 (0.06, 0.89)

0.03

0%

0.86

Severe morbidity

2

365

0.11 (0.01, 2.46)

0.17

78%

0.03

Secondary outcomes

Mortality

2

365

0.38 (0.05, 3.12)

0.37

0%

0.88

Reoperation

2

365

0.41 (0.18, 0.90)

0.03

0%

0.57

Postoperative hospital stay

2

365

− 9.80 (− 15.19, − 4.14)

0.0004

80%

0.003

  1. WMD, Weight mean difference; POPF, postoperative pancreatic fistula; DGE, Delayed gastric emptying; ICU, Intensive Care Unit; Major morbidity, Clavien-Dindo grade ≥ 3 complications.