No-touch pylorus-resecting pancreatoduodenectomy can reduce postoperative complications even in low volume center
| Autor: | Shizuo Ikeyama, Takeshi Yamaguchi, Akemi Yamanaka, Seiki Tashiro, Natsu Okitsu, Yuko Sumise, Yukari Harino, Kazuo Yoshioka, Hitomi Kamo |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Ampulla of Vater lost stent tube medicine.medical_specialty medicine.medical_treatment Common Bile Duct Neoplasms No-touch pylorus-resecting pancreatoduodenectomy (PrPD) General Biochemistry Genetics and Molecular Biology Pancreaticoduodenectomy law.invention Postoperative Complications Randomized controlled trial law medicine Periampullary cancer Humans Pylorus Aged Pancreatic duct business.industry early removal of drainage tube Stent antecolic gastrojejunostomy General Medicine Middle Aged medicine.disease people.cause_of_death Surgery Pancreatic Neoplasms medicine.anatomical_structure Pancreatic fistula Female business people |
| Zdroj: | The Journal of Medical Investigation. 62:188-194 |
| ISSN: | 1349-6867 1343-1420 |
| DOI: | 10.2152/jmi.62.188 |
| Popis: | Purposes : Pancreatoduodenectomy (PD) was performed for 6 periampullary cancer patients by using methods verified by quality randomized controlled trials (RCT) in a low-volume center (LVC). The purpose of this study was to verify the clinical results. Methods : No-touch pylorus-resecting pancreatoduodenectomy (PrPD), antecolic gastrojejunostomy, pancreatico-jejunostomy with a lost stent tube to the main pancreatic duct, and early removal of a prophylactic drain were performed. Results : The drain could be removed 4 days after opera- tion, and no pancreatic fistula was observed in all cases. Solid food could be started on POD4 after removing the drain. Furthermore, postoperative systemic chemotherapy could be started earlier. Conclusion : Although we have only a few PD cases a year in our institution, PD can be conducted safely without complications by using the methods verified by quality RCTs. J. Med. Invest. 62 : 188-194, August, 2015 |
| Databáze: | OpenAIRE |
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