Pancreaticogastrostomy after pancreaticoduodenectomy without suturing the pancreas.

Details

Serval ID
serval:BIB_E21257ADCE60
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pancreaticogastrostomy after pancreaticoduodenectomy without suturing the pancreas.
Journal
Surgery today
Author(s)
Halkic N., Kobayashi K., Kokudo T., Di Mare L., Yamaguchi T., Kudo H., Demartines N., Uldry E.
ISSN
1436-2813 (Electronic)
ISSN-L
0941-1291
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
50
Number
2
Pages
200-204
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The aim of the present paper was to describe a new and easy technique for performing pancreaticogastrostomy (PG) through simple pancreatic invagination by a single binding suture without suturing the pancreatic parenchyma. The present study included all consecutive patients who underwent elective pancreaticoduodenectomy from 2007 to 2015. The intraoperative and postoperative outcomes after PG (PG group) were compared with those of patients who underwent pancreaticojejunostomy (PJ) (PJ group). Out of 270 patients, 88 PG and 182 PJ patients were assessed. The rate of clinically significant PF was similar between the PG and PJ groups (10.2% vs. 13.2%, respectively; p = 0.487), despite the risk of pancreatic fistula being higher in the PG group. There were no significant differences in the intraoperative and postoperative outcomes or mortality between the groups. This easy invagination technique for PG is simple, safe and reproducible with a low risk of postoperative pancreatic fistula.
Keywords
Gastrostomy/methods, Humans, Pancreas/surgery, Pancreatic Fistula/prevention & control, Pancreaticoduodenectomy/methods, Postoperative Complications/prevention & control, Sutureless Surgical Procedures/methods, Pancreatic fistula, Pancreaticoduodenectomy, Pancreaticogastrostomy
Pubmed
Web of science
Create date
11/10/2018 16:22
Last modification date
29/08/2020 6:20
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