Table 4.
Clinical course after operation
Outcome | Type of studies included in the meta-analysis | Trials (n) | Patients (n) | Pooled results WMD (95% CI) | Interpretation | Test for heterogeneity |
Bowel function recovery | RCTs | 3 | 103 | -0.68 (-1.26, -0.09) Z = 2.27, P = 0.02 | L < C | χ2 = 7.55, df = 2 P = 0.02, I2 = 73.5% |
Overall | 12 | 1296 | -0.68 (-0.85, -0.50) Z = 7.63, P < 0.001 | L < C | χ2 = 39.6, df = 11 P < 0.001, I2 = 72.2% | |
Frequency of analgesic requirement | RCTs | 3 | 103 | -1.69 (-2.18, -1.21) Z = 6.82, P < 0.001 | L < C | χ2 = 0.12, df = 2 P = 0.94, I2 = 0% |
Overall | 6 | 394 | -1.36 (-2.44, -0.28) Z = 2.48, P = 0.01 | L < C | χ2 = 40.6, df = 5 P < 0.001, I2 = 87.7% | |
No. of days with temperatures more than 37°C | Overall | 5 | 292 | -1.25 (-1.69, -0.82) Z = 5.64, P < 0.001 | L < C | χ2 = 2.05, df = 4 P = 0.73, I2 = 0% |
Duration of hospital stay | RCTs | 4 | 162 | -3.32 (-7.69, 1.05) Z = 1.49, P = 0.14 | L = C | χ2 = 33.5, df = 3 P < 0.001, I2 = 91.1% |
Overall | 15 | 1531 | -5.51 (-7.61, -3.42) Z = 5.16, P < 0.001 | L < C | χ2 = 280.7, df = 14 P < 0.001, I2 = 95.0% | |
WBC (POD 1) | Overall | 7 | 466 | -1409.5 (-1934.6, -884.4) Z = 5.26, P < 0.001 | L < C | χ2 = 5.63 , df = 6 P = 0.47, I2 = 0% |
WBC (POD 3) | Overall | 5 | 346 | -1028.1 (-1578.7, -477.4) Z = 3.66, P < 0.001 | L < C | χ2 = 4.18, df = 4 P = 0.38, I2 = 4.2% |
WBC (POD 7) | Overall | 4 | 319 | -280.1 (-751.7, 191.5) Z = 1.16, P = 0.24 | L = C | χ2 = 1.73, df = 3 P = 0.63, I2 = 0% |
CRP (POD 1) | Overall | 5 | 267 | -1.33 (-2.20, -0.46) Z = 3.01, P = 0.003 | L < C | χ2 = 7.24, df = 4 P = 0.12, I2 = 44.8% |
CRP (POD 3) | Overall | 4 | 199 | -3.71 (-6.61, -0.80) Z = 2.50, P = 0.01 | L < C | χ2 = 24.4, df = 3 P < 0.001, I2 = 87.7% |
CRP (POD 7) | Overall | 3 | 172 | -1.33 (-2.90, 0.25) Z = 1.65, P = 0.10 | L = C | χ2 = 8.36, df = 2 P = 0.02, I2 = 76.1% |
L: Laparoscopy-assisted distal gastrectomy; C: Conventional open distal gastrectomy; RCTs: Randomized controlled trials; CRP: C-reactive protein; POD: Postoperative day; WMD: Weighted mean difference; CI: Confidence intervals; df: Degree of freedom.