Continuous suture of the pancreatic stump and Braun enteroenterostomy in pancreaticoduodenectomy

作     者：Hong-Bo Meng Bo Zhou Fan Wu Jie Xu Zhen-Shun Song Jian Gong Mahbuba Khondaker Bin Xu 

作者机构：Department of General SurgeryShanghai 10th People’s HospitalTongji University School of Medicine Department of Obstetrics and GynecologyShanghai 10th People’s HospitalTongji University School of Medicine GI DivisionRenji HospitalShanghai Institute of Digestive DiseasesShanghai Jiao-Tong University School of Medicine Tongji University School of Medicine 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第9期

页      面：2731-2738页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Supported by National Natural Science Foundation of China,No.81001007 the Scientific Research Foundation for the Returned Overseas Chinese Scholars,State Education Ministry 

主　　题：Pancreaticoduodenectomy Delayed gastric emptying B 

摘      要：AIM:To investigate a new modification of pancreaticoduodenectomy(PD)-a mesh-like running suturing of the pancreatic remnant and Braun s ***:Two hundred and three patients underwent PD from 2009 to 2014 and were classified into two groups:Group A(98 patients),who received PD with a mesh-like running suturing for the pancreatic remnant,and Braun s enteroenterostomy; and Group B(105 patients),who received standard *** data,intraoperative findings,postoperative morbidity and perioperative mortality between the two groups were compared by univariate and multivariate ***:Demographic characteristics between Group A and Group B were *** were no significant differences between the two groups concerning perioperative mortality,and operative blood loss,as well as the incidence of the postoperative morbidity,including reoperation,bile leakage,intraabdominal fluid collection or infection,and postoperative *** relevant postoperative pancreatic fistula(POPF) and delayed gastric emptying(DGE) were identified more frequently in Group B than in Group *** A(PD with a mesh-like running suturing of the pancreatic remnant and Braun s enteroenterostomy) was independently associated with decreased clinicallyrelevant POPF and DGE,with an odds ratio of 0.266(95%CI:0.109-0.654,P =0.004) for clinically relevant POPF and 0.073(95%CI:0.010-0.578,P =0.013) for clinically relevant ***:An additional mesh-like running suturing of the pancreatic remnant and Braun s enteroenterostomy during PD decreases the incidence of postoperative complications and is beneficial for patients.