Application of purse string suture pancreaticojejunostomy for undilated pancreatic duct in total laparoscopic pancreaticoduodenectomy.
Laparoscopy
Pancreatic fistula
Pancreaticoduodenectomy
Pancreaticojejunostomy
Undilated pancreatic duct
Journal
BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567
Informations de publication
Date de publication:
19 May 2022
19 May 2022
Historique:
received:
18
02
2022
accepted:
09
05
2022
entrez:
19
5
2022
pubmed:
20
5
2022
medline:
24
5
2022
Statut:
epublish
Résumé
To investigate the feasibility of purse string suture pancreaticojejunostomy in complete laparoscopic pancreaticoduodenectomy for patients with an undilated pancreatic duct. We retrospectively reviewed a database of 113 patients with undilated pancreatic ducts who had undergone laparoscopic pancreaticoduodenectomy (LPD) with purse string suture pancreaticojejunostomy to analyze the perioperative outcomes. One hundred thirteen patients underwent successful LPD. The surgery time was 353 ± 41 min, the time required for pancreaticojejunostomy was 27 ± 5 min, and the hospital stay after surgery was 16 ± 8 days. Fifteen patients suffered postoperative complications, including twelve patients with pancreatic fistula, one with bile leakage, one with gastroparesis (complicated with abdominal infection), and one with abdominal bleeding. No perioperative death occurred. Purse string suture pancreaticojejunostomy is safe and feasible for patients with an undilated pancreatic duct.
Sections du résumé
BACKGROUND
BACKGROUND
To investigate the feasibility of purse string suture pancreaticojejunostomy in complete laparoscopic pancreaticoduodenectomy for patients with an undilated pancreatic duct.
METHODS
METHODS
We retrospectively reviewed a database of 113 patients with undilated pancreatic ducts who had undergone laparoscopic pancreaticoduodenectomy (LPD) with purse string suture pancreaticojejunostomy to analyze the perioperative outcomes.
RESULTS
RESULTS
One hundred thirteen patients underwent successful LPD. The surgery time was 353 ± 41 min, the time required for pancreaticojejunostomy was 27 ± 5 min, and the hospital stay after surgery was 16 ± 8 days. Fifteen patients suffered postoperative complications, including twelve patients with pancreatic fistula, one with bile leakage, one with gastroparesis (complicated with abdominal infection), and one with abdominal bleeding. No perioperative death occurred.
CONCLUSIONS
CONCLUSIONS
Purse string suture pancreaticojejunostomy is safe and feasible for patients with an undilated pancreatic duct.
Identifiants
pubmed: 35590306
doi: 10.1186/s12893-022-01640-w
pii: 10.1186/s12893-022-01640-w
pmc: PMC9118586
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
195Subventions
Organisme : key program of the Jinhua Municipal Science & Technology Bureau
ID : 2020-3-048
Organisme : program of the Zhejiang medical and health science &technology project
ID : 2020KY1005
Informations de copyright
© 2022. The Author(s).
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