AI Article Synopsis
- The study assesses a new continuous suture technique for pancreatojejunostomy after pancreatoduodenectomy, focusing on outcomes without stenting.
- Thirty-four patients were evaluated, considering factors like operation time, postoperative complications, and hospital stay, with surgeries mainly for various types of cancer.
- Results showed no operative deaths, with manageable complication rates and overall positive outcomes for the continuous suture method, indicating it may be an effective approach for this procedure.
Article Abstract
Purpose: To evaluate the newly developed continuous suture technique in dunking pancreatojejunostomy without pancreatic duct stenting after pancreatoduodenectomy (PD).
Methods: Thirty-four consecutive pancreaticojejunostomies (patient age 73 ± 11, 41-88) with continuous sutures without stenting after PD were performed from 2006 to 2011. This study evaluated the operation time, intraoperative blood loss, initial postoperative day of oral feeding, postoperative hospital stay, postoperative early complications, and late complications. The indications for surgery included bile duct cancer (n = 12), pancreatic cancer (n = 11), intraductal papillary mucinous neoplasm (n = 3), cancer of the papilla (n = 3), duodenal cancer (n = 2), and others (n = 3). Portal vein or superior mesenteric vein resections and reconstructions were performed in 7 patients, and another organ was resected in 3.
Results: No operative or in-hospital deaths occurred. The operation time (minutes) was 315 ± 68 and, postoperative hospital stay (days) was 27 ± 16. Pancreatic fistula, wound infection, and delayed gastric emptying were observed in 15, 15, and 9 %, respectively. Grade C pancreatic fistula was seen in 2 patients. Both recovered after laparotomy and drainage and were successfully discharged. Worsening diabetes mellitus was seen in 2 of 34 patients, and dilatation of the pancreatic duct was seen in 3 of 28 patients.
Conclusion: The newly developed continuous suture technique in dunking pancreatojejunostomy without stenting may therefore produce favorable results in PD.
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| http://dx.doi.org/10.1007/s00595-012-0363-x | DOI Listing |
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