Effect of different pancreaticojejunal anastomoses on the occur-rence of pancreatic fistula after pancreaticoduodenectomy / 中国肿瘤临床
Chinese Journal of Clinical Oncology
;
(24): 441-445, 2015.
Artículo
en Chino
| WPRIM
| ID: wpr-465329
ABSTRACT
Objective:
To investigate the effect of pancreaticojejunostomy on the occurrence of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy.Methods:
Data from 145 patients with periampullary tumor who underwent pancreaticoduode-nectomy in Tianjin Medical University Cancer Institute and Hospital between October 2008 and August 2013 were reviewed. Factors potentially associated with POPF were analyzed by Pearson chi-square test and Logistic regression analysis.Results:
Among the 145 patients, 27 were diagnosed with POPF, including 5 grade A, 17 grade B and 5 grade C. Neither duct to mucosa nor Blumgart pancreati-cojejunostomy was correlated with POPF in grade C. The univariate analysis showed that gender, pancreatic cancer, portal vein involve-ment, type of pancreaticojejunostomy, texture of pancreas, and diameter of the main pancreatic duct were closely correlated with POPF. The multivariate analysis using Logistic regression showed that different pancreaticojejunal anastomoses and genders were independent predictors of POPF.Conclusion:
Different types of pancreatic anastomoses are a risk factor for POPF after pancreaticoduodenectomy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Tipo de estudio:
Estudio pronóstico
Idioma:
Chino
Revista:
Chinese Journal of Clinical Oncology
Año:
2015
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS