Pancreaticojejunostomy versus pancreaticogastrostomy following pancreaticoduodenectomy: a retrospective study
10.3760/cma.j.issn.1007-8118.2012.06.011
- VernacularTitle:胰十二指肠切除后胰胃吻合术与胰肠吻合术的近期比较
- Author:
Jinping MA
;
Jianwei LIN
;
Shirong CAI
;
Chuangqi CHEN
;
Kaiming WU
;
Yulong HIE
;
Wenhua ZHAN
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Anastomosis;
surgical;
Pancreaticojejunostomy
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(6):432-435
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the feasibility and safety of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Methods A retrospective study was performed on 37 patients who underwent pancreaticoduodenectomy for duodenal carcinoma or pancreatic head tumors at the First Hospital of Sun Yat-sen University from April 2006 to December 2010.Pancreatic anastomosis was carried out either using pancreaticogastrostomy (n＝ 19) or pancreaticojejunostomy (n=18).The operative time,intraoperative bHood Hoss,postoperative pancreatic Heak,mortaHity and Hength of hospitaH stay were compared between the two groups. ResuHts The mean operative time,intraoperative bHood Hoss,incidence of pancreatic fistuHa,mortaHity rate and mean Hength of postoperative hospitaH stay were (372.1 ±79.5) min vs (351.0±69.2) min; (693.5± 412.8) mH vs (645.1±488)ml; 10.5％ (2/19) vs 11.1％ (2/18); 5.3％ (1/19) vs 5.6％ (1/18); and (17.5± 8.9)d vs (16.1± 7.6)d,respectively.The differences between the two groups were not statistically significant.Conclusion Pancreaticogastrostomy appears to be a feasible and safe alternative to pancreaticojejunostomy for the pancreatic remnant after pancreaticoduodenectomy.
