Abstract
Background: Postoperative pancreatic fistula(POPF) remains the most life-threaten major complication after pancreatoduodenectomy(PD). Despite numerous trials comparing anastomosis method and duct stent type, there are no consensus regarding the ideal surgical technique. In this study, we retrospectively analyzed the surgical outcomes after PD at single center. Methods: Between June 2001 and May 2015, 500 consecutive patients received PD at Gangnam severance hospital. All patients received same procedure. Duct to mucosa Pancreaticojejunostomy with internal stenting was performed. We analyzed operative time, estimated blood loss, length of hospital stay and complications. Results: Operation time, estimated blood loss, length of hospital stay and clinical relevant POPF rate decreased steadily and first plateau was noted after 100 cases. After 100 cases, Average clinical relevant POPF rate was 6.75%. Conclusion: Consistent practice of standardized technique may decrease the rate of clinical relevant POPF. It is important to stabilize surgical methods before comparing new anastomosis methods.
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