Omental Flap Technique in Pancreaticojejunostomy: Does it Prevent Pancreatic Fistula Development after Pancreaticoduodenectomy?

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2024-01-01 DOI:10.62713/aic.3512

Doğan Erdoğan, Mehmet Ali Uzun

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引用次数: 0

Abstract

Aim: The aim of our study was to investigate the clinical results of omental flap application during pancreaticojejunostomy (PJ) anastomosis in pancreatoduodenectomy (PD) surgeries.

Methods: The data of patients who underwent pancreaticoduodenectomy in our hospital were evaluated retrospectively. The patients were divided into two groups; patients with an omental flap (Group 1) and those without an omental flap (Group 2). The demographic and other characteristics of the groups and the incidence of postoperative pancreatic fistula (POPF) development were compared.

Results: One hundred patients were included (39 females, 61 males) Group 1 consisted of 20 patients with omental flaps and Group 2 consisted of 80 patients without omental flaps. While no clinically significant (Grade B and C) leaks were observed in Group 1, both biochemical and clinically significant leak rates were lower in Group 1 compared to 4 patients (5%) in Group 2. There was no statistically significant difference compared with Group 2 (p > 0.05).

Conclusions: Although not statistically significant in this study, postoperative complication rates and the incidence of POPF tended to decrease in patients who underwent omental flaps.

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胰空肠吻合术中的网膜瓣技术：它能防止胰十二指肠切除术后胰腺瘘的发展吗？

目的：我们的研究旨在探讨胰十二指肠切除术（PD）手术中胰空肠吻合时应用网膜瓣的临床效果：方法：对在我院接受胰十二指肠切除术的患者数据进行回顾性评估。患者分为两组：有网膜瓣的患者（第一组）和无网膜瓣的患者（第二组）。比较了两组患者的人口统计学特征和其他特征以及术后胰瘘（POPF）的发生率：结果：共纳入 100 名患者（39 名女性，61 名男性），第一组包括 20 名带网膜瓣的患者，第二组包括 80 名不带网膜瓣的患者。虽然第一组没有观察到有临床意义（B 级和 C 级）的渗漏，但第一组的生化渗漏率和有临床意义的渗漏率均低于第二组的 4 名患者（5%）：结论：尽管在本研究中没有统计学意义，但接受网膜瓣治疗的患者术后并发症发生率和 POPF 发生率呈下降趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.