Authors: Masaji Tani Hironobu Onishi Hiroyuki Kinoshita Manabu Kawai Masaki Ueno Takashi Hama Kazuhisa Uchiyama Hiroki Yamaue
Publish Date: 2004/12/09
Volume: 29, Issue: 1, Pages: 76-79
Abstract
This study was conducted to examine the efficacy of ducttomucosal pancreaticojejunostomy compared with external stented pancreaticojejunostomy in prevention of several complications retrospectively Seventysix patients with pancreatic head resection 59 male median age 601 years underwent pancreaticoduodenectomy at the Second Department of Surgery Wakayama Medical University School of Medicine Wakayama Japan between January 1 1994 and March 31 2002 In early postoperative status the incidence of pancreatic fistula by ducttomucosal anastomosis n = 45 was similar to that by external stent n = 31 soft pancreas is a risk factor of pancreatic fistula compared with hard pancreas p 005 During the late postoperative period however no patients with ducttomucosal anastomosis showed pancreatic duct dilatation by computed tomography CT At the same time 588 of patients with external stent followed by CT showed pancreatic duct dilatation p 001 The ducttomucosal anastomosis was more effective pancreaticojejunostomy than the external stent in terms of prevention of pancreatic duct dilatation and it should be the surgical procedure of choice in pancreaticoduodenectomy
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