Abstract
Purpose: To overcome the high morbidity rate associated with postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy, new pancreatic anastomosis techniques have been developed, including Peng's binding pancreaticogastrostomy (BPG). We present our 50-case experience with Peng's BPG. Methods: From October 2011 to April 2014, 50 consecutive cases of PPPD with BPG were performed. All clinical data were collected prospectively. Short-term outcomes pancreatic fistula-related complications were analyzed. Results: Of the 50 cases, 42 (84%) were malignant and 8 (16%) were benign. Bile duct cancer (24 cases) was the most common. Nineteen postoperative complications developed in 13 patients, and 4 patients developed more than 2 complications. According to the Clavien–Dindo Classification, postoperative complications were grade I in 8 cases, grade II in 6, grade IIIA in 2, grade IIIB in 2, and grade V in 1. The morbidity rate was 38%. The median time to drain removal was 8 days, and the median length of postoperative hospital stay was 14 days. POPF occurred in 4 cases, resulting in a POPF rate of 8%. POPF-related mortality occurred in 1 case. Conclusion: Based on our 50-case experience, we believe that Peng's BPG is a good surgical option to minimize the occurrence of POPF but more investigations including comparative study with pancreaticojejunostomy are needed.
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