Abstract
Background: Invagination is one of the useful reconstruction method for pancreatic enteric anastomosis during pancreatoduodenectomy (PD), but it is unclear what is the best. On the other hand, a safe and easy procedure is needed for the stable outcomes and the safe training for young surgeon. The aim of this study was to evaluate our simplified invagination pancreaticojejunostomy. Methods: This is a pilot study about a modified technique. Between January 2012 and March 2015, 22 consecutive cases of pancreatoduodenectomy performed with invagination pancreaticojejunostomy were eligible for inclusion. We retrospectively analyzed the operative courses. Results: The median surgical time was 496 minutes (range 232–755). The median blood loss was 600 ml (range 75–4335). The soft pancreas was nine patients (40.9%). Only one patient developed postoperative pancreatic fistula (Grade B) (4.5%). The median follow-up period was 13 months (range 2–29), and there were no cases of occlusion at the anastomotic site. When comparing inexperienced and skilled surgeons, no statistical significance was observed in the clinical and operative parameters. Conclusion: Our invagination PJ can be an easy and simple method which carries a low incidence of POPF, and safe for training of young surgeons.
Highlights
Definition of post operative complicationsPancreatoduodenectomy (PD) is a surgical procedure performed for patients with malignant or benign diseases of the pancreatic head and periampullary region
Between January 2012 and March 2015, Invagination method, 22 consecutive cases of pancreatoduodenectomy performed with invagination pancreaticojejunostomy Pancreatoduodenectomy, Pancreatic were eligible for inclusion
Our invagination PJ can be an easy and simple method which carries a low incidence of postoperative pancreatic fistula (POPF), and safe for training of young surgeons
Summary
Definition of post operative complicationsPancreatoduodenectomy (PD) is a surgical procedure performed for patients with malignant or benign diseases of the pancreatic head and periampullary region. Clinical trials have been published to clarify which is the best reconstruction method for pancreatic– enteric anastomosis, but it is still debated [1,2]. We have to train up young surgeons on the safety operation with less complication. To achieve both the training and the operative safety, a simple and safe method is needed. Invagination is one of the useful reconstruction method for pancreatic enteric anastomosis Accepted: October 11, 2016 during pancreatoduodenectomy (PD), but it is unclear what is the best. A safe and Published: October 13, 2016 easy procedure is needed for the stable outcomes and the safe training for young surgeon.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Surgery & Surgical Procedures
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
