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. 2003 Jan 20;2003(1):CD004171. doi: 10.1002/14651858.CD004171

Lillemoe 2004.

Methods Patients were randomised using a randomly generated number pattern. Method used to conceal treatment allocation was not described. Blinding was not reported.
Participants 124 patients undergoing elective pancreaticoduodenectomy were randomly allocated to 1 of 2 groups: 
 (1) Fibrin sealant group (n = 58), M/F = 37/58, mean age (+/‐SD) = 64 (15.2) years. 
 (2) Control group (n = 66), M/F = 40/66, mean age (+/‐SD) = 64 (16.2) years.
Interventions (1) Fibrin sealant group received 8 ml of fibrin sealant applied through a double‐barrel syringe connected to a 'y'‐shaped catheter. The FS was applied circumferencially to the entire anastomosis after the completion of all 3 anastomosis. 
 (2) Control group did not receive fibrin sealant treatment.
Outcomes Number of patients exposed to allogeneic blood transfusion (n). 
 Blood loss (ml). 
 Mortality (n). 
 Wound infection (n). 
 Re‐operation (n). 
 Length of hospital stay (days). 
 Pancreatic fistula (n).
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk Random number generator
Allocation concealment? Unclear risk B ‐ Unclear
Blinding? 
 All outcomes Unclear risk Not reported