Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sÔmbŃtŃ, 16 februarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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PANCREATICOGASTROANASTOMOZA VERSUS PANCREATICOJEJUNOANASTOMOZA DUP─é DUODENOPANCREATECTOMIA CEFALIC─é – STUDIU COMPARATIV –
S. Verzea 1, V. Scripcariu 2
1) Secţia de Chirurgie, Spitalul Judeţean de Urgenţe Piatra Neamţ
2) Departamentul de chirurgie, Universitatea de Medicin─â ┼či Farmacie “Gr.T. Popa” Ia┼či
Jurnalul de chirurgie (Ia┼či). 2012; 8(3): 365-372
Full text:
Format PDF (Român─â/Romanian)

Abstract:

Pancreatic fistula is one of the most important complications following pancreatic head resection. The type of pancreatic anastomosis is thought to have an influence over the rate of complications. The pancreaticogastroanastomosis was developed in order to decrease the risk of fistula. There are some advantages advocated for this type of anastomosis. 44 patients with duodenopancreatectomy were studied, operated consecutively between 2005 and 2008 in two separate surgical units, both with relative small volume of pancreatic resections. There were not only resections for pancreatic head carcinoma. For the first group (32 patients), only the pancreaticogastroanastomosis was used, and for the second one (12 patients) – the pancreaticojejunoanastomosis. There were no fistulas in the first group, but there were 4 cases in the group II. Many factors were studied for the 2 groups: age, gender, education, economical status, smoking, associated diabetes, anemia, hypoalbuminemia, jaundice, the diameter of the pancreatic duct, the texture of pancreatic tissue, blood loss during intervention, the type of pancreatic anastomosis. In a statistical study of linear regression, only the type of pancreatic anastomosis was found to influence the rate of pancreatic fistula. For these two small groups of patients, the pancreaticogastroanastomosis was more safe and was a protective factor against pancreatic fistula.

KEY WORDS: PANCREATICODUODENECTOMY; PANCREATICOGASTRO-ANASTOMOSIS; PANCREATICOJEJUNO-ANASTOMOSIS; PANCREATIC FISTULA; PANCREATIC RESECTION

HOW TO CITE: Verzea S, Scripcariu S. [Pancreaticogastroanastomosis versus pancreaticojejunoanastomosis after pancreaticoduodenectomy – a comparative study] Jurnalul de chirurgie (Ia┼či). 2012; 8(3): 365-372


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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.