Is Roux-Y Binding Pancreaticojejunal Anastomosis Feasible for Patients Undergoing Left Pancreatectomy? Results from a Prospective Randomized Trial
Joint Authors
Räty, Sari
Antila, Anne
Sand, Juhani
Nordback, Isto
Laukkarinen, Johanna
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
After pancreaticoduodenectomy, the Finnish binding pancreaticojejunal anastomosis (FBPJ) seems to reduce the risk for pancreatic fistula (POPF).
Our aim was to investigate whether FBPJ is feasible and prevents the risk for POPF even after left pancreatectomy (LP).
Patients and Methods.
47 consecutive patients underwent LP.
27 patients were recruited on the basis of CT and, of these, 16 patients were randomized on the basis of findings during surgery (transection line must be left of portal vein, as 2-3 cm pancreatic mobilization is required for FBPJ) to receive either Roux-Y FBPJ or hand-sewn closure of the pancreatic remnant.
Results.
Only 34% (16/47) of the patients met the randomization criteria.
Clinically significant POPF rate was higher in FBPJ group (60%) compared to thand-sewn closure group (13%; P<0.05).
POPF rate in FBPJ group was higher even when compared to all patients with hand-sewn closure (60% versus 37%; P<0.05).
Overall, FBPJ was technically feasible for only 28% of patients.
Conclusion.
FBPJ cannot be recommended for the routine closure of the pancreatic remnant after LP, as it was not technically achievable in 72% of the cases.
Moreover, the technique does not seem to reduce the risk for POPF compared to the hand-sewn closure.
American Psychological Association (APA)
Antila, Anne& Sand, Juhani& Nordback, Isto& Räty, Sari& Laukkarinen, Johanna. 2014. Is Roux-Y Binding Pancreaticojejunal Anastomosis Feasible for Patients Undergoing Left Pancreatectomy? Results from a Prospective Randomized Trial. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-477243
Modern Language Association (MLA)
Antila, Anne…[et al.]. Is Roux-Y Binding Pancreaticojejunal Anastomosis Feasible for Patients Undergoing Left Pancreatectomy? Results from a Prospective Randomized Trial. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-477243
American Medical Association (AMA)
Antila, Anne& Sand, Juhani& Nordback, Isto& Räty, Sari& Laukkarinen, Johanna. Is Roux-Y Binding Pancreaticojejunal Anastomosis Feasible for Patients Undergoing Left Pancreatectomy? Results from a Prospective Randomized Trial. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-477243
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-477243