In 176 patients with soft pancreas, the incidence of pancreatic fistula grade B and C (33.3% vs. 23.0%, p = 0.55) and the hospital stay was similar between the groups (median 17 vs. The incidence of clinically relevant pancreatic fistula grade B and C (23.2% vs. ![]() The mean amylase value of IAD collection in 86 cases of B + IAD group was 63,100 IU/L. ![]() The daily IAD drainage volume and the amylase level was significantly higher in patients with a soft pancreas (vs hard pancreas 16.5 vs. The IAD tube was placed to collect amylase-rich fluid from the inter-anastomosis space during operative procedure between the jejunal wall and pancreatic stump. Postoperative outcomes and the amylase value and the volume of the drainage fluids were compared between the two groups. This retrospectively study consist of 282 pancreatoduodenectomy cases, including 86 reconstructions via the Blumgart method plus IAD (B + IAD group) and 196 cases reconstructed using the Blumgart method alone (B group). This study aimed to evaluate the postoperative outcomes of our novel method, in pancreatojejunostomy and investigate the nature of the inter-anastomosis space between jejunal wall and pancreas parenchyma. ![]() We have previously reported a new pancreatojejunostomy method using an inter-anastomosis drainage (IAD) suction tube with Blumgart anastomosis for drainage of the pancreatic juice leaking from the branched pancreatic ducts. Pancreatic fistula remains the biggest problem in pancreatic surgery.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |