AI Article Synopsis

  • The study investigates a new packing method to reduce the risk of pseudoaneurysms after pancreaticoduodenectomy, a surgery involving the pancreas and duodenum.
  • In a comparison of 210 patients, 110 had the packing method while 100 did not; results showed no significant difference in pseudoaneurysm occurrences between the two groups.
  • While the packing method did not lower the formation rate of pseudoaneurysms, it may help prevent their rupture and related complications.

Article Abstract

Background/aim: Pseudoaneurysm formation is a potentially fatal complication after pancreaticoduodenectomy. We developed a packing method in which the gastroduodenal artery stump is packed inside a falciform ligament to reduce the post-pancreatectomy hemorrhage due to pseudoaneurysm formation. This study aimed to evaluate its efficacy.

Patients And Methods: This study included 210 patients who underwent pancreaticoduodenectomies between January 2007 and December 2023. The study population was divided into two groups; the packing group (n=110) and the no-packing group (n=100), and the clinical variables were compared between the two groups.

Results: Pseudoaneurysms were observed in six (2.9%) patients, and post-pancreatectomy hemorrhage was observed in four (1.9%) patients. There was no significant difference in pseudoaneurysm formation between the packing and no-packing groups (p=0.477), and the mortality rates for both pseudoaneurysm and post-pancreatectomy hemorrhage were zero. Two patients in the no-packing group were found to have shock, whereas four patients in the packing group (n=4) did not. Additionally, we encountered a 6 cm unruptured pseudoaneurysm following packing.

Conclusion: The packing method did not reduce pseudoaneurysm formation after pancreaticoduodenectomy, but may prevent pseudoaneurysm rupture.

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Source
http://dx.doi.org/10.21873/anticanres.17339DOI Listing

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