A preliminary clinical study of polyester spacer-enhanced pancreatico-intestinal anastomosis in pancreaticoduodenectomy
10.3760/cma.j.cn113884-20231103-00124
- VernacularTitle:涤纶垫片加强胰十二指肠切除术中胰肠吻合的初步临床研究
- Author:
Xin LI
1
;
Jiayi WANG
;
Shaohua LI
;
Ruili ZHU
;
Zhenfei JIA
;
Chengyun MA
;
Xianbing WANG
Author Information
1. 新乡医学院安阳市人民医院培养基地，安阳 455000
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Polyester gasket;
Pancreatic fistula
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(1):44-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and utility of using polyester spacers in conventional pancreatico-enteric anastomosis in pancreaticoduodenectomy to achieve prevention of postoperative pancreatic fistula.Methods:The clinical data of 82 patients with pancreaticoduodenectomy completed by the same physician in Anyang People's Hospital from August 2018 to August 2023 were retrospectively analyzed, including 52 males and 30 females, aged (62.21±9.75) years. They were divided into two groups, test group ( n=40) and control group ( n=42) according to whether polyester spacers were used in pancreatico-intestinal anastomosis, the perioperative data of the two groups were compared, and Logistic analysis was used to analyze the risk factors affecting postoperative pancreatic fistula. Results:There was no statistically significant difference between the two groups in terms of biliary fistula, intestinal fistula, abdominal infection, abdominal bleeding, and postoperative mortality rate (all P>0.05). The incidence of postoperative pancreatic fistula in the test group was 20.0% (8/40) which was lower than that in the control group 45.2% (19/42), and the difference was statistically significant ( P=0.015). Soft pancreas texture ( OR=16.595, 95% CI: 1.891~145.657) was an independent risk factor for postoperative pancreatic fistula, while improved pancreatic enterostomy with polyester spacers ( OR=0.332, 95% CI: 0.114~0.969) could reduce the risk of postoperative pancreatic fistula. Conclusion:Use of polyester spacers to reinforce the pancreatico-enteric anastomosis during pancreaticoduodenectomy reduces the incidence of postoperative pancreatic fistulae with good safety and practicality.
