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Table 5 Studies (cases ≥ 50) comparing PD with and without wrapping in the English language literature

From: Wrapping gastroduodenal artery stump with the teres hepatis ligament to prevent postpancreatectomy hemorrhage after pancreaticoduodenectomy

Year

Authors

Study design

Study type

Inclusion period

Country

Patients enrolled (n)

Wrapping location

Wrapping material

PPH (wrapping vs. no wrapping)

Conclusion

2012

Tani et al. [13]

Retrospective observational survey

Multicentric

2006–2008

Japan

2597

W 918

Pancreatic anastomosis or vessels (not specified)

Omentum or falciform ligament

Overall intra-abdominal hemorrhage, 3.2% vs. 3.2%

No difference in intra-abdominal hemorrhage

nW 1679

2012

Rosso et al. [17]

Retrospective observational

Monocentric

2009–2009

France

61

W 33

Pancreatic anastomosis, hepatic artery and celiac trunk

Omentum

Overall PPH, 3.0% vs. 10.7%

No difference in PPH

nW 28

2012

Choi et al. [18]

Retrospective observational

Monocentric

2009–2011

Korea

68

W 29

Pancreaticojejunostomy

Omentum

Overall PPH, 6.9% vs. 7.7%

Reduce the incidence of POPF but not PPH

nW 39

2014

Xu et al. [19]

Retrospective observational

Monocentric

2005–2012

China

280

W140

GDA stump

Teres hepatis ligament

GDA stump-related PPH, 0.7% vs. 6.4%

Reduce the postoperative GDA-related hemorrhage incidence

nW140

2016

Kapoor et al. [20]

Retrospective observational

Monocentric

1989–2015

India

784

W 132

GDA stump and pancreaticojejunostomy

Omentum

Overall PPH, 14% vs. 18%

No difference in overall PPH, less delayed intra-abdominal bleeds in wrapping group

nW 652

2017

Müssle et al. [12]

Retrospective observational

Monocentric

2012–2015

Germany

196

W 39

GDA stump

Falciform ligament

GDA stump-related PPH, 7.7% vs. 9.6%

The incidence of erosion hemorrhage after wrapping is low, but there are still insufficient controlled data to support its general use

nW 157

2021

Tangtawee et al. [21]

Randomized Clinical Trial

Monocentric

2017–2019

Thailand

68

W 34

Pancreaticojejunostomy

Omentum

Overall PPH, 2.9% vs. 2.9%

Neither reduce PPH nor POPF

nW 34

2021

Meng et al. [22]

Retrospective observational

Monocentric

2016–2019

China

247

W 119

GDA stump

Teres hepatis ligament

Overall PPH B/C, 0% vs. 5.5%

Reduce the rate of PPH of Grade B and C

nW 128

2022

Welsch et al. [23]

Randomized Clinical Trial

Multicentric

2015–2020

Germany

417

W 207

GDA stump

Falciform ligament

GDA stump-related PPH, 2.9% vs. 7.1%

Lower the rate of bleeding from the hepatic artery or GDA stump

nW 210

Present study

Zheng et al

Retrospective observational

Multicentric

2019–2022

China

307

W 165

GDA stump

Teres hepatis ligament

Overall PPH B/C, 13.4% vs. 6.1%; GDA stump-related PPH, 5.6% vs. 0.6%

Reduce the incidence of GDA stump-related PPH

nW 142

  1. W wrapping, nW no wrapping