MODIFIED PANCREATICOGASTROSTOMY FOLLOWING PANCREATICODUODENECTOMY

被引:74
作者
TAKAO, S [1 ]
SHIMAZU, H [1 ]
MAENOHARA, S [1 ]
SHINCHI, H [1 ]
AIKOU, T [1 ]
机构
[1] KAGOSHIMA UNIV,SCH MED,DEPT SURG 1,KAGOSHIMA 890,JAPAN
关键词
D O I
10.1016/S0002-9610(05)80833-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
A modified pancreaticogastrostomy without gastrotomy was performed in 46 patients undergoing pancreaticoduodenectomy for malignant or benign disease. Postoperative complications related to the modified pancreaticogastrostomy occurred in one patient (2%). Operative mortality was 4% and was unrelated to the pancreaticogastrostomy itself. During the first postoperative year, four patients died of causes unrelated to the original disease process, and nine patients died of recurrent carcinoma. The remaining 31 patients were alive and well at a mean follow-up of 20 months. Results of postoperative gastroscopy were normal in all patients studied. A modified pancreaticogastrostomy without gastrotomy is a safe and effective procedure for pancreatic reconstruction in pancreaticoduodenectomy.
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页码:317 / 321
页数:5
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