A retrospective case-control study on postoperative pancreatic fistula about modified invagination pancreaticojejunostomy and mucosa to duct pancreaticojejunostomy
10.3760/cma.j.issn.1673-4203.2019.08.008
- VernacularTitle:改良套入式胰肠吻合术与黏膜对胰管胰肠吻合术的回顾性病例对照研究
- Author:
Wei GUO
1
;
Hongwei WU
;
Dong WANG
;
Xiaona ZHOU
;
Jun LIU
;
Jianshe LI
;
Zhongtao ZHANG
Author Information
1. 首都医科大学附属北京友谊医院普外科 100050
- Keywords:
Pancreaticoduodenectomy;
Treatment outcome;
Retrospective studies;
Pancreaticojejunostomy;
Pancreatic fistula
- From:
International Journal of Surgery
2019;46(8):535-538,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare clinical outcomes between modified invagination pancreaticojejunostomyandmucosa (MIP) to mucosa duct pancreaticojejunostomy(MDP) in pancreaticoduodenectomy.Methods In Department of General Surgery,Beijing Friendship Hospital Capital Medical University,from Jan.2013 to Jan.2019,there were 222 cases performed pancreaticoduodenectomy,with MIP or MDP.According to the operation methods,by matching the sex and year decads,all patients were divided into MIP group (n =111) and MDP group (n =111).The incidence of pancreatic fistula in two groups was observed.The software of SPSS 20.0 was adopted for statistical analysis.Results There was no perioperative death in both groups.The mean operative time of MIP group was significant shorter than that of the MDP group [(212.8 ± 62.4) min vs (231.5 ±51.9) min,P =0.016].However,there were no significant differences in blood loss,blood transfusion,bowel fnnction recovery and liquid diet time.There was no grade C pancreatic fistula in MIP group,but 2 cases in MDP group.There were no significant differences in incidence and classification of pancreatic fistula between two groups.Conclusions There were no significant differences in clinical outcomes between MIP and MDP.The MIP is more easier to performed,so it is of certain spreading value.However,the further evidence need more prospective controlled study.
