A Comparison of Two Invagination Techniques for Pancreatojejunostomy after Pancreatoduodenectomy
Joint Authors
Kusnierz, Katarzyna
Mrowiec, Slawomir
Lampe, Pawel
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-17
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The aim of the study was to compare two invagination techniques for pancreatojejunostomy after pancreatoduodenectomy.
Methods.
For effective prevention of the development of pancreatic leakage, we modified invagination technique that we term the “serous touch.” We analysed the diameter of the main pancreatic duct, the texture of the remnant pancreas, the method of the reconstruction, pancreatic external drainage, anastomotic procedure time, histopathological examination, and postoperative complications.
Results.
Fifty-two patients underwent pancreatoduodenectomy with pancreatojejunostomy using “serous touch” technique (ST group) and 52 classic pancreatojejunostomy (C group).
In the ST group one patient (1.9%) was diagnosed as grade B pancreatic fistula, and no patient experienced fistula grade A or C.
In the C group 6 patients (11.5%) were diagnosed as fistula grade A, 1 (1.9%) patient as fistula grade B, and 1 (1.9%) patient as fistula grade C.
There was a significant statistical difference in incidents of pancreatic fistula (P<0.05) and no statistical difference in other postoperative complications or mortality in comparison group.
Anastomosis time was statistically shorter in the ST group.
Conclusions.
“Serous touch” technique appeared to be easy, safe, associated with fewer incidences of pancreatic fistulas, and less time consuming in comparison with classical pancreatojejunostomy.
American Psychological Association (APA)
Kusnierz, Katarzyna& Mrowiec, Slawomir& Lampe, Pawel. 2015. A Comparison of Two Invagination Techniques for Pancreatojejunostomy after Pancreatoduodenectomy. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1064144
Modern Language Association (MLA)
Kusnierz, Katarzyna…[et al.]. A Comparison of Two Invagination Techniques for Pancreatojejunostomy after Pancreatoduodenectomy. Gastroenterology Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1064144
American Medical Association (AMA)
Kusnierz, Katarzyna& Mrowiec, Slawomir& Lampe, Pawel. A Comparison of Two Invagination Techniques for Pancreatojejunostomy after Pancreatoduodenectomy. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1064144
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064144