Objective To investigate the incidence of postoperative complications in laparoscopic versus open common hepatic duct-jejunal Roux-en-Y anastomosis. Methods The databases of Pub Med,Web of Science,CNKI,VIP,and Wanfang Data were searched for related studies on postoperative complications in laparoscopic or open common hepatic duct-jejunal Roux-en-Y anastomosis published up to May 20,2016. Two reviewers performed literature screening according to inclusion and exclusion criteria,data extraction,and quality assessment independently. STATA12. 0 software was used for the meta-analysis. Results A total of 9 studies with 548 patients were enrolled. Among these patients,261 underwent laparoscopic surgery and 287 underwent open surgery. The results of the meta-analysis showed that compared with the open surgery group,the laparoscopic surgery group had lower incidence rates of total complications( OR =0. 40,95% CI: 0. 24-0. 68,P = 0. 001),incision infection( OR = 0. 20,95% CI: 0. 08-0. 53,P = 0. 001),and adhesive ileus( OR= 0. 25,95% CI: 0. 06-0. 99,P = 0. 049). However,there was no significant difference in the incidence of bile leakage between the two groups( P > 0. 05). Conclusion Compared with open surgery,laparoscopic common hepatic duct-jejunal Roux-en-Y anastomosis has a lower incidence of total postoperative complications,and therefore,it is a safe and feasible surgical procedure.
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