RETRACTED ARTICLE Surgical selection for late pan

Authors: Shuhua Zhang Juan Wang Chong Yang Bo Wang Heshui Wu Chunyou Wang

Publish Date: 2014/04/19

Volume: 33, Issue: 6, Pages: 866-869

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Abstract

The effects of different surgical procedures for late pancreatic head carcinoma without gastric outlet obstruction were explored in order to provide theoretical basis to select a suitable operation for these patients The clinical data of 441 cases of late pancreatic head carcinoma without gastric outlet obstruction were retrospectively analyzed All patients were divided into 4 groups based on different surgical procedures group A 101 cases subjected to RouxenY cholecystojejunostomy group B 133 cases undergoing RouxenY choledochojejunostomy group C 83 cases given RouxenY cholecystojejunostomy combined with gastrojejunostomy group D 124 cases receiving RouxenY choledochojejunostomy combined with gastrojejunostomy Therapeutic efficacy in each group was evaluated comparatively Both groups B and D had a lower rate of postoperative obstructive jaundice than groups A and C separately P005 for all The data of mean life span showed that both groups B and D had a lower survival rate than groups A and C separately P005 for all The incidence of postoperative gastric outlet obstruction in groups A and B was higher than that in groups C and D separately P005 for all The gastrojejunostomy had no impacts on the mean life span and there was no statistically significant difference in complications average hospital stay days and median survival among four groups P005 For the late pancreatic head carcinoma without gastric outlet obstruction RouxenY choledochojejunostomy is effective for the reduction of icteric index and the incidence of recurrent jaundice also offers an opportunity for prolonged survival Combined use of prophylactic RouxenY gastrojejunostomy during surgical biliary drainage is safe for advanced pancreatic carcinoma with obstructive jaundice which can decrease the incidence of postoperative gastric outlet obstruction and has important implications for improving outcomesThis article has been retracted by the Editorin Chief of J Huazhong Univ Sci Technol Med Sci following the discovery of redundant publication part of this article was previously published in Chinese Journal of General Surgery in Chinese doi 103760/cmajissn1007631X201305008

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