Clinical effect comparison of different pancreaticojejunostomy in pancreaticoduodenectomy / 中国医师进修杂志

ABSTRACT

Objective To compare the clinical effect of different pancreaticojejunostomy in pancreaticoduodenectomy.Methods The data of 92 pancreaticoduodenectomy patients were retrospectively comparative analysis,the patients with bundled pancreaticojejunostomy was enrolled in group A (48 cases) and the patients with pancreatic duct on intestinal mucosa anastomosis was enrolled in group B (44 cases).Results The results between the two groups in the operative time,blood loss,postoperative hospital stay and overall complication rate showed no significant difference (P ＞ 0.05).The anal exhaust time in group A was longer than that in group B [(101.73 ±6.47) min vs.(98.73 ±6.87) min],the rate of pancreatic juice leakage in group A was lower than that in group B [6.2％(3/48) vs.20.5％ (9/44)],but the rate of gastricism in group A was higher than that in group B [18.8％ (9/48) vs.4.5％ (2/44)],there were significant difference between the two groups (P ＜ 0.05).Conclusions The two pancreaticojejunostomy methods can achieve good clinical efficacy.Bundled pancreaticojejunostomy can be effective in reducing the occurrence of simple pancreatic juice leakage.Pancreatic duct on intestinal mucosa anastomosis can effectively reduce the occurrence of gastricism,should base on intraoperative decision to choose the best fit manner.