Clinical application of " variable diameter measurable pancreatic duct" in laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn113884-20201022-00554
- VernacularTitle:"变径可测量胰腺导管"在腹腔镜胰十二指肠切除术中的应用
- Author:
Qiusheng LI
1
;
Ang LI
;
Zhongqiang XING
;
Feng FENG
;
Weihong ZHAO
;
Haitao LYU
;
Jiansheng ZHANG
;
Wenbin WANG
;
Jianhua LIU
Author Information
1. 河北医科大学第二医院肝胆外科，石家庄 050000
- Keywords:
Pancreatoduodenectomy;
Laparoscopy;
Pancreatic catheterization
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(6):411-414
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and effectiveness of clinical application of " variable diameter measurable pancreatic duct" in laparoscopic pancreaticoduodenectomy (LPD).Methods:A retrospective study was conducted at the Second Hospital, Hebei Medical University Liver Surgical Team from July 2019 to July 2020 using the " HongShi single stitch" method of pancreatic duct to jejunum anastomosis on 147 patients who underwent LPD. According to the type of pancreatic duct, the patients were divided into having normal pancreatic ducts (the normal group, n=61) and those having " variable diameter measuring pancreatic duct" (the variable diameter group, n=86). The perioperative data and postoperative complications were compared and analyzed. Results:There were 89 males and 58 females, aged (56.7±1.5) years. There were no significant differences in age, gender and body mass index between groups ( P>0.05). For the variable diameter group, the diameter of the divided pancreatic stump was (3.2±0.1) mm, and the depth of internal pancreatic duct stenting was (4.7±0.2) cm. However, it could not be measured accurately in the normal group. The incidence of postoperative pancreatic fistula rate was significantly lower in the variable diameter group than the normal group [2.32% (2/61) vs. 11.47% (7/86), P=0.023]. Conclusion:The variable diameter measurement of pancreatic duct was safe and effective in choosing patients to undergo LPD.
