Pancreaticogastrostomy following distal pancreatectomy prevents pancreatic fistula-related complications
2013; Wiley; Volume: 21; Issue: 7 Linguagem: Inglês
10.1002/jhbp.59
ISSN1868-6982
AutoresHiroaki Yanagimoto, Sohei Satoi, Hideyoshi Toyokawa, Tomohisa Yamamoto, Satoshi Hirooka, Jun Yamao, So Yamaki, Hironori Ryota, Yoichi Matsui, A‐Hon Kwon,
Tópico(s)Gastrointestinal disorders and treatments
ResumoJournal of Hepato-Biliary-Pancreatic SciencesVolume 21, Issue 7 p. 473-478 ORIGINAL ARTICLE Pancreaticogastrostomy following distal pancreatectomy prevents pancreatic fistula-related complications Hiroaki Yanagimoto, Hiroaki Yanagimoto Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSohei Satoi, Sohei Satoi satoi@hirakata.kmu.ac.jp Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorHideyoshi Toyokawa, Hideyoshi Toyokawa Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorTomohisa Yamamoto, Tomohisa Yamamoto Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSatoshi Hirooka, Satoshi Hirooka Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorJun Yamao, Jun Yamao Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSo Yamaki, So Yamaki Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorHironori Ryota, Hironori Ryota Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorYoichi Matsui, Yoichi Matsui Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorA-Hon Kwon, A-Hon Kwon Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this author Hiroaki Yanagimoto, Hiroaki Yanagimoto Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSohei Satoi, Sohei Satoi satoi@hirakata.kmu.ac.jp Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorHideyoshi Toyokawa, Hideyoshi Toyokawa Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorTomohisa Yamamoto, Tomohisa Yamamoto Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSatoshi Hirooka, Satoshi Hirooka Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorJun Yamao, Jun Yamao Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorSo Yamaki, So Yamaki Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorHironori Ryota, Hironori Ryota Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorYoichi Matsui, Yoichi Matsui Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this authorA-Hon Kwon, A-Hon Kwon Department of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010 JapanSearch for more papers by this author First published: 15 December 2013 https://doi.org/10.1002/jhbp.59Citations: 16Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Background The most common postoperative complication after distal pancreatectomy (DP) is still postoperative pancreatic fistula (POPF), which is closely associated with other major complications and remains an unsolved problem. Methods This retrospective study included 47 consecutive patients who underwent a distal pancreatectomy with (DP-PG group, n = 21) or without (DP group, n = 26) duct-to-mucosa pancreaticogastrostomy from June 2010 to May 2012. Clinical data including POPF-related complications (POPF, fluid collection, intra-abdominal abscess, bleeding and delayed gastric emptying) as a primary endpoint were compared between the two groups. Results The frequencies of POPF-related complications as well as overall POPF and complications in the DP-PG group were lower than in the DP group (P = 0.037, P < 0.001, respectively). The 30 days morbidity after hospital discharge in the DP-PG group was less than in the DP group (P = 0.014). In both groups median hospital stay was similar. Although additional time needed for pancreaticogastrostomy was 35 (20–55) min, there was no difference in operative times. Patients in the DP group had a higher medical cost for hospitalization than the DP-PG group (P = 0.048). Conclusion Pancreaticogastrostomy as an additional procedure following distal pancreatectomy was associated with a reduced rate of POPF-related complications that resulted in relatively lower medical cost for hospitalization. Citing Literature Volume21, Issue7July 2014Pages 473-478 RelatedInformation
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