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Comparison of Clinic Effect between Binding Pancreaticogastrostomy and Binding Pancreaticojejunostomy in Pancreaticoduodenectomy

Author: ZhangJianDong
Tutor: HongDeFei
School: Zhejiang University
Course: Clinical
Keywords: Pancreaticoduodenectomy Pancreatic anastomosis Pancreaticojejunostomy Complication Pancreatic leakage
CLC: R656
Type: Master's thesis
Year: 2010
Downloads: 59
Quote: 0
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Abstract


Objective: middle by pancreaticoduodenectomy and pancreatic resection in patients with bundled pancreatic enteric anastomosis with bundled pancreatic anastomosis clinical efficacy compared explore bundling pancreatic anastomosis in pancreaticoduodenectomy feasibility and superiority may exist ; methods : retrospective of may 2009 to March 2010 , Sir Run Run Shaw Hospital admitted 23 cases pancreatoduodenectomy and the pancreas central resection patients with pancreatic digestive tract reconstruction using bundled pancreatic anastomosis or bundled pancreatic enteric anastomosis comparative study of clinical efficacy ; : bundled pancreatic anastomosis in 13 patients , 1 case of pancreatic leakage , no patients had surgery and perioperative death , bleeding , intestinal leakage , bile leakage , stomach drain , gastric ulcer , the complication rate was 7.7% ; pancreaticojejunostomy eight cases , postoperative pancreatic leakage associated with intra-abdominal hemorrhage 2 cases , gastric ulcer , no perioperative deaths , leaky gut , bile leakage , the incidence of postoperative complications was 50%. The two sets of results contrast was not statistically significant ( P gt; 0.05 ) ; Conclusion: pancreatic leakage pancreatoduodenectomy important complications , this set of data due to the limited number of cases , the result was not statistically significant , but indirect pancreatic anastomosis than pancreaticojejunostomy superiority may prevent complications .

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