J Korean Surg Soc.  2006 Feb;70(2):108-112.

Short-term Analysis of Pancreaticoduodenectomy with an Application of a Binding Pancreaticojejunostomy and an Endo GIA Stapler

• Sim MS
• Yea BK
• Cho YH
• Kim KH
• Baek SW

Abstract

PURPOSE: A pancreaticoduodenectomy is the procedure of choice for managing a periampullary malignancy. This is a complex procedure accompanied with some morbidity. In order to improve postoperative clinical results, we tried to apply a binding pancreaticojejunostomy and Endo GIA stapler during pancreaticoduodenectomy. According to the clinical outcomes, compare this trial with a conventional procedure.
METHODS
We evaluated retrospectively clinical results of 30 patients who had received pancreaticoduodenectomy from Jan. 2003 to Dec. 2004 in the Pusan National University Hospital. These cases were divided into two groups; Group I comprised of 16 patients receiving this procedure and Group II comprised of 14 patients receiving conventional procedure.
RESULTS
There were some differences in the mean operation time and the amount of blood loss between two groups, but significant difference only in an aspect of blood loss (P=0.042). Postoperative complications were as these: Group I, pancreatic fistula was in 12.5%, intraabdominal bleeding in 6.2%, wound infection in 12.5%; Group II, pancreatic fistula was in 35.7%, intraabdominal bleeding in 21.4%, wound infection & intraabdominal abscess in 7.1%. In Group I, there was a lower morbidity rate than in Group II, but there was a significant difference in the development of a pancrea-tic fistula as a pancreatic parenchymal texture (P=0.021).
CONCLUSION
Although there was a small number of cases, it appears that a pancreaticoduodenectomy with the application of a binding pancreaticojejunostomy and Endo GIA stapler can produce good results, also need to get more clinical results.

Keyword

Pancreaticoduodenectomy; Pancreaticojejunostomy; Stapler

MeSH Terms

Abscess
Busan
Fistula
Hemorrhage
Humans
Pancreatic Fistula
Pancreaticoduodenectomy*
Pancreaticojejunostomy*
Postoperative Complications
Retrospective Studies
Wound Infection