Clinical Analysis of the Cases Underwent Pancreaticojejunostomy Using a Nonstented Duct-to-mucosa Anastomosis

DOI 32 References
  • Umemura Akira
    Department of Surgery, Morioka Municipal Hospital Department of Surgery, Iwate Medical University School of Medicine
  • Suto Takayuki
    Department of Surgery, Morioka Municipal Hospital
  • Mitomo Shingo
    Department of Surgery, Morioka Municipal Hospital
  • Fujita Toshihiro
    Department of Surgery, Morioka Municipal Hospital
  • Nitta Hiroyuki
    Department of Surgery, Iwate Medical University School of Medicine
  • Baba Shigeaki
    Department of Surgery, Iwate Medical University School of Medicine
  • Sasaki Akira
    Department of Surgery, Iwate Medical University School of Medicine
  • Wakabayashi Go
    Department of Surgery, Iwate Medical University School of Medicine

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Other Title
  • 膵頭十二指腸切除術におけるno stent法による膵空腸吻合の臨床検討

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Abstract

This report provides a clinical analysis obtained by performing pancreaticojejunostomy using a nonstented duct-to-mucosa anastomosis during pancreaticoduodenectomy (PD). This study was conducted on 28 cases underwent PD from January 2001 to August 2011 for the purpose of examining background factors and clinical results. These cases were divided into a hard pancreas (H) group and a soft pancreas (S) group, and a comparison was made of their clinical results. A breakdown of the 28 cases consisted of a ratio of men to women of 18:10 and average age of 70 years. Primary disease consisted of pancreatic head carcinoma in 16 cases, cholangiocarcinoma in 8 cases, and others. The mean operation time was 333 minutes, blood loss was 1,382g, the date of diet resumption was POD7, the date of drain removal was POD6, and the duration of hospitalization was 32 days. Grade B or C postoperative pancreatic fistula (POPF) defined by International Study Group on Pancreatic Fistula observed in 3 cases. In a comparison between two groups, amylase level of the drain at 1POD and 3POD, the drain removal data was significantly higher and earlier in the H group. Clinical results obtained using a surgical procedure based on a nonstented duct-to-mucosa anastomosis was feasible irrespective of the condition of the pancreas.

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