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Camilo Correa-Gallego, MD, Helen E

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1 Minimally-Invasive vs Open Pancreaticoduodenectomy: Systematic Review and Meta- Analysis 
Camilo Correa-Gallego, MD, Helen E. Dinkelspiel, MD, Isabel Sulimanoff, MLS, Sarah Fisher, MD, Eduardo F. Viñuela, MD, T. Peter Kingham, MD, FACS, Yuman Fong, MD, FACS, Ronald P. DeMatteo, MD, FACS, Michael I. D'Angelica, MD, William R. Jarnagin, MD, FACS, Peter J. Allen, MD, FACS  Journal of the American College of Surgeons  Volume 218, Issue 1, Pages (January 2014) DOI: /j.jamcollsurg Copyright © 2014 American College of Surgeons Terms and Conditions

2 Figure 1 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

3 Figure 2 Pooled estimate of operative time for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. All studies except for Buch's show a statistically significant longer operative time for MIS procedures. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

4 Figure 3 Pooled estimate of estimated operative blood loss for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

5 Figure 4 Pooled estimate of number of harvested lymph nodes during minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

6 Figure 5 Pooled estimate of rate of R0 resections for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

7 Figure 6 Pooled estimate of tumor size (cm) for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

8 Figure 7 Pooled estimate of length of hospital stay (days) for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

9 Figure 8 (A) Pooled estimate of incidence of postoperative pancreatic fistula and (B) clinically-relevant postoperative pancreatic fistula for minimally invasive surgery (MIS) vs open pancreaticoduodenectomy. Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

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