| Autor: |
Kostro, Justyna, Zadrożny, Dariusz, Pirski, M. Ignacy, Łukiański, Marian, Głowacki, Janusz, Śledziński, Zbigniew |
| Předmět: |
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| Zdroj: |
Polish Surgery / Chirurgia Polska; 2006 Supplement, Vol. 8, p11-11, 1/5p |
| Abstrakt: |
Background: Pancreatogastrostomy has been known as an alternative method of reconstruction after pancreatoduodenectomy. The purpose of this retrospective study was to evaluate the safety of pancreatogastrostomy after pancreatoduodenectomy at one institution. Material and methods: From 1994 to 2004, 159 patients with a mean age of 58 years underwent pancreatoduodenectomy. Standard Whipple procedures were performed in 125 cases and 34 underwent pylorus preserving modification. In all of them pancreatogastrostomy was the method of choice for pancreatic reconstruction. Results: The main outcome measures were postoperative morbidity and mortality. There were 56 patients (35%) who developed postoperative complications. 20 of them (12%) needed reoperation due to pancreatic leak (5), biliary leak (2), biliary stenosis (1), enteric anastomosis leak (1), hemorrhage from the pancreatogastric anastomosis (6), intra-abdominal bleeding (2), abdominal abscess (4) and eventeration (2). The other 36 complications (23%) could be managed conservatively. Six patients died (mortality rate -- 3.7%). Two of them had presented pancreatic leakage. Conclusion: We recommended pancreatogastrostomy as an alternative, simple and safe method of pancreatic reconstruction after pancreatoduodenectomy, as it has low mortality and morbidity rates. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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