Pancreatic Disorders & Therapy
Open Access
ISSN: 2165-7092
+44 7868 792050
ISSN: 2165-7092
+44 7868 792050
Naokazu Chiba
Hachioji Medical Center, 1163 Tatemachi Hachioji, Tokyo 193-0998
Japan
Research Article
Efficacy of Modified Technique in Pancreatojejunostomy to Prevent Postoperative Pancreatic Fistula after Pancreatoduodenectomy
Author(s): Naokazu Chiba, Motohide Shimazu, Masaaki Okihara, Toru Sano, Koichi Tomita, Kiminori Takano and Shigeyuki KawachiNaokazu Chiba, Motohide Shimazu, Masaaki Okihara, Toru Sano, Koichi Tomita, Kiminori Takano and Shigeyuki Kawachi
Introduction: In pancreatoduodenectomy (PD), postoperative pancreatic fistula (POPF) remains the single most important cause of morbidity. We present a modification for duct to mucosa pancreaticojejunostomy.
Materials and Methods: Total 134 patients, who had undergone PD or pylorus preserving PD (PPPD) between November 2007 and October 2013 at our institution, were analyzed. From April 2012 to December 2014, 53 consecutive patients underwent PD or PPPD by the new modified technique and 81 patients by the former technique before March 2012. The preoperative demographics and clinical information were retrospectively obtained from both groups and were analyzed along with risk factors of POPF. Moreover, risk factors for POPF grade B/C were analysed by univariate and multivariate analysis.
Results: Operation procedures .. View More»
DOI:
10.4172/2165-7092.1000174