Selective application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy
10.3760/cma.j.issn.1674-1935.2011.01.005
- VernacularTitle:Ⅰ型与Ⅱ型捆绑式胰肠吻合术的选择性应用
- Author:
Qingsong WU
;
Yafei LIN
;
Jiafeng ZHAO
;
Jiannan WANG
;
Congyun HUANG
;
Xiaolong ZHANG
;
Jianhua ZHU
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Pancreaticojejunostomy;
Pancreatic fistula
- From:
Chinese Journal of Pancreatology
2011;11(1):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and summarize the efficacy and the experience in the application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy in pancreaticoduodenectomy. Methods Between Jan.2005 and Dec. 2009, a total of 38 patients who underwent bundled pancreaticojejunostomy was enrolled, and their clinical data were retrospectively analyzed. 20 patients received type Ⅰ bundled pancreaticojejunostomy and 18 patients received type Ⅱ bundled pancreaticojejunostomy. The operative time, postoperative hospital stay, mortality and complications were compared. Results The operative time of type Ⅰ bundled pancreaticojejunostomy was (91 ± 20) min, and it was (63 ± 21) min in type Ⅱ procedure, and the difference was statistically significant (P ＜ 0. 05). The mortality and complications, postoperative hospital stay were 10.0%(2/20), 45.0% (9/20) and (20 ±2)d in type Ⅰ procedure, while they were 5.6% (1/18),38.9% (7/18) and(23 ±2)d in type Ⅱ procedure, and the difference was not statistically significant.Conclusions There was no significant difference in the effects between type Ⅰ and type Ⅱ bundled pancreaticojejunostomy. Carefully selective application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy helps complete these procedures.
