The Tight Adaptation at Pancreatic Anastomosis Without Parenchymal Laceration: An Institutional Experience in Introducing and Modifying the New Procedure
| العنوان: | The Tight Adaptation at Pancreatic Anastomosis Without Parenchymal Laceration: An Institutional Experience in Introducing and Modifying the New Procedure |
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| المؤلفون: | Nobuhiro Ohkohchi, Yoshimasa Akashi, Tatsuya Oda, Yukio Ohshiro, Tsuyoshi Enomoto, Shinji Hashimoto, Keisuke Kohno, Ryoichi Miyamoto, Kiyoshi Fukunaga, Osamu Shimomura |
| المصدر: | World Journal of Surgery. 39:2014-2022 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, medicine.medical_treatment, Common Bile Duct Neoplasms, Anastomosis, Pancreaticoduodenectomy, Cohort Studies, Pancreatic Fistula, Suture (anatomy), Duodenal Neoplasms, Pancreaticojejunostomy, medicine, Humans, Aged, Retrospective Studies, business.industry, Suture Techniques, Pancreatic Ducts, Perioperative, Length of Stay, Middle Aged, medicine.disease, Surgery, Cardiac surgery, Pancreatic Neoplasms, Cardiothoracic surgery, Pancreatic fistula, Female, business, Abdominal surgery |
| الوصف: | Among the types of pancreatic anastomosis used after pancreatoduodenectomy (PD), Blumgart type reconstruction has rapidly been distributed for its theoretical reasonableness, including secure tight adaptation of jejunal wall and pancreatic parenchyma without cause of parenchymal laceration. The clinical appropriateness of our modified Blumgart method was demonstrated by comparing to that of Kakita method. Retrospective analysis of 156 patients underwent elective open PD, reconstructed former 78 patients with the Kakita method, utilizing a full-thickness penetrating suture for tight stump adhesion. The later 78 patients were treated with the modified Blumgart method, which involved clamping the pancreatic parenchymal stump by the jejunal seromuscular layers with horizontal mattress-type penetration sutures. Evaluated variables were the rate of pancreatic fistula (PF) and the length of postoperative hospital stay (POHS). The rate of ISGPF grade B + C PF was 29/78 (37.2 %) in the Kakita group and 16/78 (20.5 %) in the Blumgart group (P = 0.033). The median POHS for the Kakita group was 23 days, whereas that for the Blumgart group was 16 days (P |
| تدمد: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-015-3075-8 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::17769b9f9098202b82e8234ab8685ee8 https://doi.org/10.1007/s00268-015-3075-8 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....17769b9f9098202b82e8234ab8685ee8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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| DOI: | 10.1007/s00268-015-3075-8 |