A new method of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy: A retrospective analysis of 93 cases.

IF 1 4区医学 Q3 SURGERY Journal of Minimal Access Surgery Pub Date : 2024-07-01 DOI:10.4103/jmas.jmas_59_24

Junhan Li, Jianqiang Xiang, Jie Zhu, Mengnan Wang, Meng Lin, Haibiao Wang, Hong Li

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Abstract

Introduction: Pancreaticojejunostomy have been studied and modified for more than a hundred years. We investigated a new method of pancreaticojejunostomy to explore its value in laparoscopic pancreaticoduodenectomy.

Patients and methods: A retrospective analysis was conducted on the clinical data of 93 patients who underwent laparoscopic pancreaticoduodenectomy with 'Shunt-block combined' pancreaticojejunostomy at Ningbo Medical Center Lihuili Hospital from April 2017 to February 2023.

Results: All patients successfully completed the surgery, with two cases requiring conversion to open surgery. The average operation time was 328.5 (180-532) min, the average intraoperative blood loss was 182.9 (50-1000) mL and the average laparoscopic pancreaticojejunostomy time was 29.6 (20-39) min. There were no cases of grade C pancreatic fistula postoperatively, 10 cases of grade B pancreatic fistula, 43 cases of biochemical fistula and 40 cases without detected pancreatic fistula.

Conclusion: 'Shunt-block combined' pancreaticojejunostomy was a safe and effective method for pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.

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腹腔镜胰十二指肠切除术中的胰空肠吻合术新方法：93例病例的回顾性分析。

导言：胰腺空肠吻合术的研究和改良已有一百多年的历史。我们研究了一种新的胰腺空肠吻合术方法，以探讨其在腹腔镜胰十二指肠切除术中的价值：对2017年4月至2023年2月在宁波市医疗中心李惠利医院接受腹腔镜胰十二指肠切除术并行 "顺-逆联合 "胰空肠吻合术的93例患者的临床资料进行回顾性分析：所有患者均顺利完成手术，其中两例患者需要转为开放手术。平均手术时间为328.5（180-532）分钟，平均术中失血量为182.9（50-1000）毫升，平均腹腔镜胰腺空肠吻合术时间为29.6（20-39）分钟。结论：在腹腔镜胰十二指肠切除术中，"顺行-阻断联合 "胰空肠吻合术是一种安全有效的胰空肠吻合术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.