A vertical stomach reconstruction after pylorus-preserving pancreaticoduodenectomy - 03/09/11
Abstract |
Background: Pancreatic fistula (PF) and delayed gastric emptying (DGE) is a leading cause of morbidity after pylorus-preserving pancreaticoduodenectomy (PPPD), occurring in 20% to 40% of patients.
Methods: Between August 1994 and March 2000, 30 consecutive patients underwent our modified PPPD and were evaluated on their incidence of PF and DGE. The major modification of our technique was an antecolic reconstruction and setting the transverse colon between pancreaticogastrostomy and duodenojejunostomy
Results: Operative time and blood loss were, respectively, 5.2 ± 0.93 hours and 730 ± 330 mL. Hospital mortality was 0%. Postoperative morbidity was 23%. Delayed gastric emptying and pancreatic fistula were observed in 3 (10%) and 0 (0%) of 30 patients. Nasogastric suction was required for 7 ± 2 days, and a solid diet could be tolerated on postoperative day 11 ± 4.
Conclusions: The results show that our reconstruction can minimize DGE.
Le texte complet de cet article est disponible en PDF.Keywords : Pylorus-preserving pancreaticoduodenectomy, Pancreatic fistula, Delayed gastric emptying, Pancreas cancer, Periampullary cancer, Lower bile duct cancer
Plan
Vol 181 - N° 2
P. 149-152 - février 2001 Retour au numéro
Article précédent
- Saphenoperitoneal anastomosis for resistant ascites in patients with cirrhosis
- Kemal I Deen, Arjuna P de Silva, Mahinda Jayakody, H.Janaka de Silva
- Anatomical major resection versus nonanatomical limited resection for liver metastases from colorectal carcinoma
- Norihiro Kokudo, Keiichiro Tada, Makoto Seki, Hirotoshi Ohta, Kaoru Azekura, Masashi Ueno, Toshiki Matsubara, Takashi Takahashi, Toshifusa Nakajima, Tetsuichiro Muto
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?