A new feasible technique of mesh-reinforced pancreatojejunostomy and pancreatogastrostomy: retrospective analysis of 61 cases

<p>Abstract</p> <p>Background</p> <p>Pancreatic leak was the major concern after pancreatoduodenectomy.</p> <p>Methods</p> <p>A total of 61 patients who underwent mesh-reinforced pancreatojejunostomy or pancreatogastrostomy from August 2005 to No...

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Bibliographic Details
Main Authors: Xianfa Wang, Ying Xin, Junhai Pan, Nengyun Zhang, Wei Zhou
Format: Article
Language:English
Published: BMC 2012-06-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:http://www.wjso.com/content/10/1/114
Description
Summary:<p>Abstract</p> <p>Background</p> <p>Pancreatic leak was the major concern after pancreatoduodenectomy.</p> <p>Methods</p> <p>A total of 61 patients who underwent mesh-reinforced pancreatojejunostomy or pancreatogastrostomy from August 2005 to November 2011 were retrospectively analyzed.</p> <p>Results</p> <p>The mean anastomosis time of mesh-reinforced pancreatojejunostomy was 25 minutes ranging from 22 to 35 minutes. In mesh-reinforced pancreatogastrostomy, the mean anastomosis time ranged from 20 to38 minutes with an average of 30 minutes. Blood loss was 200 to 4,000 ml with an average of 710 ml in all patients. There was one case of pancreatic leak of Class A, three cases of pancreatic leak of Class B, one case of pancreatic leak of Class C, one case of choledochojejunostomy leakage, one case of gastrojejunostomy leakage, and three cases of abdominal bleeding.</p> <p>Conclusion</p> <p>As a new technique, mesh-reinforced pancreatojejunostomy and pancreatogastrostomy might be a safe and feasible procedure to prevent postoperative pancreatic leak.</p> <p>Trial registration</p> <p>This research is waivered from trial registration because it was a retrospective analysis of medical records.</p>
ISSN:1477-7819