Blumgart anastomosis with polyglycolic acid felt reduces the incidence of pancreatic fistula after pancreaticoduodenectomy: A propensity score analysis

Autor: Yasuyuki Fukami, Takuya Saito, Takaaki Osawa, Shunichiro Komatsu, Tsuyoshi Sano
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Gastroenterological Surgery, Vol 6, Iss 6, Pp 880-886 (2022)
Druh dokumentu: article
ISSN: 2475-0328
DOI: 10.1002/ags3.12598
Popis: Abstract Polyglycolic acid (PGA) felt has been used to prevent clinically relevant postoperative pancreatic fistula (CR‐POPF) after pancreaticoduodenectomy (PD). However, there has been no related research on Blumgart anastomosis. Therefore, this study aimed to investigate the practical significance of Blumgart anastomosis with our new method involving PGA felt to prevent CR‐POPF following PD. Data from 133 consecutive patients who underwent Blumgart anastomosis during PD between June 2015 and November 2021 were reviewed. We applied PGA felt to 35 of these patients starting from July 2020. Surgical outcomes were analyzed by propensity score matching. Thirty‐five (35.7%) of the 98 patients in the without‐PGA group were matched with an equal number from the with‐PGA group after adjusting for covariates. CR‐POPF was found in 17 patients (49%) in the without‐PGA group and two patients (6%) in the with‐PGA group (P
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