Short-term Analysis of Pancreaticoduodenectomy with an Application of a Binding Pancreaticojejunostomy and an Endo GIA Stapler.
- Author:
Mun Sup SIM
1
;
Byung Kook YEA
;
Yong Hoon CHO
;
Kyung Hoon KIM
;
Seung Wan BAEK
Author Information
1. Department of Surgery, Busan National University College of Medicine, Busan, Korea. simms@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Stapler
- MeSH:
Abscess;
Busan;
Fistula;
Hemorrhage;
Humans;
Pancreatic Fistula;
Pancreaticoduodenectomy*;
Pancreaticojejunostomy*;
Postoperative Complications;
Retrospective Studies;
Wound Infection
- From:Journal of the Korean Surgical Society
2006;70(2):108-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A pancreaticoduodenectomy is the procedure of choice for managing a periampullary malignancy. This is a complex procedure accompanied with some morbidity. In order to improve postoperative clinical results, we tried to apply a binding pancreaticojejunostomy and Endo GIA stapler during pancreaticoduodenectomy. According to the clinical outcomes, compare this trial with a conventional procedure. METHODS: We evaluated retrospectively clinical results of 30 patients who had received pancreaticoduodenectomy from Jan. 2003 to Dec. 2004 in the Pusan National University Hospital. These cases were divided into two groups; Group I comprised of 16 patients receiving this procedure and Group II comprised of 14 patients receiving conventional procedure. RESULTS: There were some differences in the mean operation time and the amount of blood loss between two groups, but significant difference only in an aspect of blood loss (P=0.042). Postoperative complications were as these: Group I, pancreatic fistula was in 12.5%, intraabdominal bleeding in 6.2%, wound infection in 12.5%; Group II, pancreatic fistula was in 35.7%, intraabdominal bleeding in 21.4%, wound infection & intraabdominal abscess in 7.1%. In Group I, there was a lower morbidity rate than in Group II, but there was a significant difference in the development of a pancrea-tic fistula as a pancreatic parenchymal texture (P=0.021). CONCLUSION: Although there was a small number of cases, it appears that a pancreaticoduodenectomy with the application of a binding pancreaticojejunostomy and Endo GIA stapler can produce good results, also need to get more clinical results.
