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Is circular-stapled gastrojejunostomy anastomosis apppropriate for pancreaticoduodenectomy?
Abstract
INTRODUCTION:Pancreaticoduodenectomy is a highly complex procedure that requires surgical experience.. Among these is the use of a stapler in the construction of the gastrojejunostomy anastomosis during the procedure. Our study compares the patient outcomes of gastrojejunostomy anastomosis procedures performed manually and with a circular stapler.
MATERIALS AND METHOD:Our study retrospectively evaluated the data of 44 patients who had undergone pancreaticoduodenectomy performed by the same surgical team between May 2015 and December 2019. The manual gastrojejunostomy anastomosis(n = 32) and stapled (circular stapler 25 millimeter) anastomosis(n=12) patient groups were compared for anastomotic stricture.
RESULTS:Of the 44 patients undergoing pancreaticoduodenectomy, 68.2% were male, the mean age was 62.9±12.1 years and the mean follow-up was 28.2±21.2 months. The rate of gastrojejunostomy stricture was significantly higher in the circular stapler group (p = 0.017;p < 0.05).
CONCLUSION:The increased risk of postoperative pancreatic fistula and anastomotic stricture prevents us from recommending the use of a circular-stapler in the creation of the gastrojejunostomy anastomosis in pancreaticoduodenectomy procedures, as it increases the risk of postoperative pancreatic fistula and anastomotic stricture, and provides no operative time advantage.
Keywords
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
Genel Cerrahi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
9 Eylül 2024
Gönderilme Tarihi
4 Ekim 2023
Kabul Tarihi
12 Şubat 2024
Yayımlandığı Sayı
Yıl 1970 Cilt: 63 Sayı: 3