Clinical application of modified pancreaticogastrostomy based on the concept of " Hong's one-stitch method" in digestive tract reconstruction in pancreaticoduodenectomy
10.3760/cma.j.cn113884-20221017-00392
- VernacularTitle:基于"洪氏胰肠吻合一针法"理念的改良胰胃吻合在胰腺手术消化道重建中的应用
- Author:
Jianhua LIU
1
;
Xinbo ZHOU
;
Xueqing LIU
;
Shubin ZHANG
;
Jianzhang QIN
;
Zixuan HU
;
Zhongqiang XING
;
Guiying WANG
Author Information
1. 河北医科大学第二医院肝胆外科，石家庄 050000
- Keywords:
Pancreatic neoplasms;
Laparoscopy;
Pancreaticoduodenectomy;
Pancreaticogastrostomy
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(2):119-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the safety and therapeutic effects of the modified pancreaticogastrostomy based on the concept of " Hong's one-stitch method" in digestive tract reconstruction in pancreatic surgery.Methods:The clinical data of 44 patients who underwent modified pancreaticogastresstomy at the Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University from May 2022 to October 2022 were analyzed retrospectively. There were 23 males and 21 females , with a median age of 54 years old (range 18 to 70 years old). The operation time, intraoperative blood loss, postoperative condition and complications were analysed.Results:All the 44 patients completed the operation successfully. There were 29 patients who underwent laparoscopic pancreaticoduodenectomy, 11 patients laparoscopic duodenum-preserving pancreatic head resection, 1 patient laparoscopic central pancreatectomy, and 3 patients open pancreaticoduodenectomy. The time required for the pancreaticogastrostomy was (15.4±1.0) min in laparoscopic surgery, and (9.1±0.5) min in open surgery. There were 2 patients who developed grade A pancreatic fistula (4.55%, 2/44) and 7 patients gastric emptying disorder (15.91%, 7/44). There were no grade B or C pancreatic fistula, biliary fistula, gastrointestinal anastomotic fistula, abdominal infection, postoperative bleeding and perioperative death.Conclusion:The modified pancreaticogastrostomy for digestive tract reconstruction in pancreatic surgery was safe and reliable. It effectively reduced the incidence of postoperative pancreatic fistula and improved prognosis of patients.
