Clinical application of 'Double R' anastomosis technique in laparoscopic pancreaticoduodenectomy procedure

Autor: Jian-Guo Qiu, Cheng-You Du, Wei Tang, Gui-Zhong Li, Yu-Fei Zhao
Rok vydání: 2020
Předmět:
Adult
Male
Leak
medicine.medical_specialty
Heel
Whipple procedure
Operative Time
Blood Loss
Surgical
Observational Study
Anastomosis
Postoperative Hemorrhage
pancreaticojejunostomy
Pancreaticoduodenectomy
“Double R” technique
03 medical and health sciences
Pancreatic Fistula
0302 clinical medicine
Postoperative Complications
Suture (anatomy)
novel anastomosis
laparoscopic pancreaticoduodenectomy
Medicine
Humans
030212 general & internal medicine
Aged
Retrospective Studies
business.industry
Biliary fistula
Suture Techniques
General Medicine
Recovery of Function
Length of Stay
Middle Aged
medicine.disease
Surgery
Intestines
Pancreatic Neoplasms
medicine.anatomical_structure
Biliary Tract Neoplasms
Pancreatic fistula
030220 oncology & carcinogenesis
Operative time
Female
Laparoscopy
business
Laparoscopic pancreaticoduodenectomy
Research Article
Zdroj: Medicine
ISSN: 1536-5964
Popis: Laparoscopic pancreaticoduodenectomy (LPD) is widely used as a treatment for periampullary tumors and pancreatic head tumors. However, postoperative pancreatic fistula (POPF), which significantly affects mortality and length of hospital stay of patients, remains one of the most common and serious complications following LPD. Though numerous technical modifications for pancreaticojejunostomy (PJ) have been proposed, POPF is still the “Achilles heel” of LPD. To reduce POPF rate and other postoperative complications following LPD by exploring the best approach to manage with the pancreatic remnant, a novel duct-to-mucosa anastomosis technique named Double Layer Running Suture (Double R) for the PJ was established. During 2018 and 2020, a totally 35 patients who underwent LPD with Double R were included, data on the total operative time, PJ duration, estimated blood loss, recovery of bowel function, postoperative complications, and length of hospital stay were collected and analyzed. The average duration of surgery was (380 ± 69) minutes. The mean time for performing PJ was (34 ± 5) minutes. The average estimated blood loss was (180 ± 155) mL. The overall POPF rate was 8.6% (3/35), including 8.6% (3/35) for the biochemical leak, 0% (0/35) for Grade B, and 0% (0/35) for Grade C. No patient suffered from biliary fistula, post-pancreatectomy hemorrhage, and intra-abdominal infection, the 30-day mortality was 0%. Double R anastomosis is potentially a safe, reliable, and rapid anastomosis with a low rate of POPF and post-pancreatectomy hemorrhage. It provides surgeons more options when performing LPD. However, its safety and effectiveness should be verified further by a larger prospective multicenter study.
Databáze: OpenAIRE
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