1. A Blumgart Anastomosis-Based Half-Invagination Pancreaticoenterostomy with Better Applicability to Laparoscopy and Lower Incidence of Pancreatic Leakage
- Author
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Qiang Sun, Jianlong Wu, Qiao Zhang, Zemin Hu, Xiaojian Chang, Peng Peng, Xueyi Gong, and Zhipeng Hu
- Subjects
medicine.medical_specialty ,Article Subject ,genetic structures ,medicine.diagnostic_test ,General Immunology and Microbiology ,business.industry ,Applied Mathematics ,Pancreatic leak ,Invagination ,General Medicine ,Anastomosis ,behavioral disciplines and activities ,General Biochemistry, Genetics and Molecular Biology ,Surgery ,Lower incidence ,nervous system ,Modeling and Simulation ,medicine ,Laparoscopy ,business ,psychological phenomena and processes - Abstract
Background The Blumgart anastomosis has been established as one of the safest anastomoses for pancreas remnant reconstruction, with low rates of postoperative pancreatic fistula (POPF) and postoperative complications. However, how to make laparoscopic pancreaticoenterostomy easier and safer is still a subject to be discussed. Methods Data of patients undergoing laparoscopic pancreaticoduodenectomy from April 2014 to December 2019 were retrospectively analyzed. Results 20 cases of half-invagination anastomosis (Group HI) and 26 cases of Cattell-warren anastomosis (Group CW) were included. Intraoperative blood loss, Operative time and Postoperative drainage tube placement time of Group HI was significantly less than those of Group CW. Patients of Clavien-Dindo grade III and above in Group HI was significantly less than Control Group. Group Incidence of POPF in Group HI was significantly lower than that in Group CW. No high-risk group emerged during Fistula risk score analytical phase, and the highest risk of moderate-risk group was pancreatic leakage. Respectively, incidence of pancreatic leakage in Group HI and Group CW was 7.7% and 46.67%, while incidence of Group HI was significantly lower than that in the Group CW. Conclusions The Blumgart-anastomosis based half-invagination pancreaticoenterostomy with better applicability to laparoscopy can effectively reduce the incidence of postoperative pancreatic leakage.
- Published
- 2023