Application of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy on 184 patients
10.3760/cma.j.issn.1007-8118.2019.11.011
- VernacularTitle: 洪氏胰肠吻合术应用于184例腹腔镜胰十二指肠切除术的疗效评价
- Author:
Qingmin CHEN
1
;
Yingchao WANG
;
Songyang LIU
;
Wei ZHANG
;
Kai LIU
;
Bai JI
;
Yahui LIU
Author Information
1. Department of Second Hepatobiliary and Pancreatic Surgery, the First Bethune Hospital of Jilin University, Changchun 130021, China
- Publication Type:Journal Article
- Keywords:
Pancreaticoduodenectomy;
Laparoscopes;
Pancreaticojejunostomy
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(11):842-845
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy and safety of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.
Methods:A retrospective analysis was carried out on 184 patients who underwent laparoscopic pancreaticoduodenectomy using Hong's pancreaticojejunostomy (the Hong’s pancreaticojejunostomy group) compared with 100 patients who underwent laparoscopic pancreaticoduodenectomy using traditional pancreaticojejunostomy (the traditional pancreaticojejunostomy group) at Department of Second Hepatobiliary and Pancreatic Surgery, the First Bethune Hospital of Jilin University, from April 2016 to December 2018. The differences between the two anastomotic methods in operation time, pancreaticojejunostomy time, intraoperative blood loss, postoperative hospital stay, postoperative complications, and incidences of pancreatic fistula were compared.
Results:The operation time, pancreaticojejunostomy time and intraoperative blood loss of the Hong's pancreaticojejunostomy group were significantly less than the traditional pancreaticojejunostomy group [(278.2±49.3) min vs. (337.3±67.4) min, (33.7±6.6) min vs. (46.8±8.5) min, (123.1±44.7) ml vs. (203.8±138.6) ml], respectively, (all P<0.05). There were no significant differences in postoperative hospital stay and pancreatic fistula rates between the two groups (all P>0.05).
Conclusions:Hong's pancreaticojejunostomy was safe, rapid and effective compared with traditional pancreaticojejunostomy. It did not increase the incidence of pancreatic fistula.
