COMPARATIVE STUDY BETWEEN PANCREATICOJEJUNOSTOMY AND PANCREATICOGASTROSTOMY FOLLOWING PANCREATICODUODENECTOMY

Al-Azhar Medical Journal Pub Date : 2023-10-01 DOI:10.21608/amj.2023.326883

Salah Saber Mabrouk, Essam El-Din Abd El-Azim El-Desouky, Abd El-Fattah Morsy Saeid

{"title":"COMPARATIVE STUDY BETWEEN PANCREATICOJEJUNOSTOMY AND PANCREATICOGASTROSTOMY FOLLOWING PANCREATICODUODENECTOMY","authors":"Salah Saber Mabrouk, Essam El-Din Abd El-Azim El-Desouky, Abd El-Fattah Morsy Saeid","doi":"10.21608/amj.2023.326883","DOIUrl":null,"url":null,"abstract":"Background: Pancreaticojejunostomy and pancreaticogastrostomy are the two techniques for pancreatic anastomosis that are widely established for the reconstruction after pancreaticoduodenectomy. Aim: To study the effect of the type of pancreaticoenteric reconstruction pancreaticojejunostomy versus pancreaticogastrostomy (PJ versus PG) after pancreaticoduodenectomy regarding the post-operative mortality and morbidity particularly pancreatic fistula (PF). Patients and Methods: A prospective cohort study included 40 patients with pancreatic or periampullary cancer who undergone pancreaticoduodenectomy. The patients divided randomizly into two groups; Group (A)included 20 patients who had undergone pancreaticojejunostomy reconstruction while group (B) included 20 patients who had undergone pancreaticogastrostomy reconstruction. Results: Mean operative time in group A and B was 7.6 ± 2.2 and 7.2 ± 2.7, mean blood loss 984.7 ± 253.2 and 852.5 ± 152.6, in most of the cases there was a Drains in contact with anastomosis was 85% and 70%, respectively. Also, there is no significant difference between both groups regarding intraoperative data. Considering postoperative complications, there was significant difference between both groups regarding","PeriodicalId":7627,"journal":{"name":"Al-Azhar Medical Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Al-Azhar Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21608/amj.2023.326883","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Pancreaticojejunostomy and pancreaticogastrostomy are the two techniques for pancreatic anastomosis that are widely established for the reconstruction after pancreaticoduodenectomy. Aim: To study the effect of the type of pancreaticoenteric reconstruction pancreaticojejunostomy versus pancreaticogastrostomy (PJ versus PG) after pancreaticoduodenectomy regarding the post-operative mortality and morbidity particularly pancreatic fistula (PF). Patients and Methods: A prospective cohort study included 40 patients with pancreatic or periampullary cancer who undergone pancreaticoduodenectomy. The patients divided randomizly into two groups; Group (A)included 20 patients who had undergone pancreaticojejunostomy reconstruction while group (B) included 20 patients who had undergone pancreaticogastrostomy reconstruction. Results: Mean operative time in group A and B was 7.6 ± 2.2 and 7.2 ± 2.7, mean blood loss 984.7 ± 253.2 and 852.5 ± 152.6, in most of the cases there was a Drains in contact with anastomosis was 85% and 70%, respectively. Also, there is no significant difference between both groups regarding intraoperative data. Considering postoperative complications, there was significant difference between both groups regarding

查看原文本刊更多论文

胰十二指肠切除术后胰空肠造口术与胰胃造口术的比较研究

背景：胰腺空肠吻合术和胰胃造口术是胰十二指肠切除术后重建胰腺的两种常用技术。目的：研究胰十二指肠切除术后胰腺空肠吻合术与胰胃造口术（PJ 与 PG）这两种胰肠重建方式对术后死亡率和发病率（尤其是胰瘘（PF））的影响。患者和方法：一项前瞻性队列研究纳入了 40 名接受胰十二指肠切除术的胰腺癌或胰腺周围癌患者。患者随机分为两组：A 组包括 20 名接受胰空肠重建术的患者，B 组包括 20 名接受胰胃重建术的患者。结果A 组和 B 组的平均手术时间分别为（7.6 ± 2.2）和（7.2 ± 2.7），平均失血量分别为（984.7 ± 253.2）和（852.5 ± 152.6），大多数病例中与吻合口接触的引流管比例分别为 85% 和 70%。此外，两组患者的术中数据也无明显差异。至于术后并发症，两组在以下方面存在显著差异

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Al-Azhar Medical Journal

自引率

0.00%

发文量