The change of postoperative pancreatic fistula in modified duct-to-mucosa in pancreaticojejunostomy: a retrospective case control study

VernacularTitle:改良式胰肠吻合方法对术后胰瘘影响的病例对照研究
Author: Dan FANG ¹ ; Zheyu CHEN ; Kefei CHEN ; Guiqing JIA ; Youyin TANG ; Jie XIE
Author Information

1. 四川大学华西医院肝脏外科
Keywords: Pancreaticoduodenectomy; Modified pancreaticojejunal anastomosis; Pancreatic fistula
From: Chinese Journal of Endocrine Surgery 2017;11(6):480-484,489
CountryChina
Language:Chinese
Abstract: Objective To explore the change of postoperative pancreatic fistula (POPF) in modified pancreaticoenteric anastomosis in pancreaticoduodenectomy.Methods This paper retrospectively analyzed clinical data of 122 patients who suffered pancreaticoduodenectomy or enlarged pancreaticoduodenectomy from Apr.2008 to Sep.2017 in West China Hospital of Sichuan University.All surgeries were operated by a surgeon.30 patients from Apr.2008 to Dec.2010 were divided to control group,and 92 patients from Jan.2011 to Sep.2017 were the experimental group.Pancreatic duct-jejunum mucosa anastomosis was adopted in the two groups,but the method in experimental group was modified.Clinically relevant POPF was compared between the two groups.Results The rate of clinically relevant POPF was 0％ (0/92) in the experimental group,while it was 13.3(4/30) in the control group.Conclusion Modified technique for duct-to-mucosa pamcreaticojejunostomy can reduce the incidence of POPF.