{"title":"Whether T-tube biliary drainage is necessary after pancreaticoduodenectomy: a single-center retrospective study.","authors":"Xin Luo, Xinbin Zhuo, Xianchao Lin, Ronggui Lin, Yuanyuan Yang, Congfei Wang, Haizong Fang, Heguang Huang, Fengchun Lu","doi":"10.1186/s12893-024-02570-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Postoperative complications of pancreaticoduodenectomy (PD) are still a thorny problem. This study aims to verify the preventative impact of T-tube on them.</p><p><strong>Methods: </strong>The electronic medical records and follow-up data of patients who received pancreaticoduodenectomy in our center from July 2016 to June 2020 were reviewed. According to whether T tube was placed during the operation, the patients were divided into T-tube group and not-T-tube group. Propensity score matching analysis was performed to minimize selection bias.</p><p><strong>Results: </strong>A total of 330 patients underwent PD (Not-T-tube group =226, T-tube group=104). Propensity score matching resulted in 222 patients for further analysis (Not-T-tube group =134, T-tube group=88). Patients' demographics were comparable in the matched cohorts. Significantly higher incidences of clinically relevant postoperative pancreatic fistula (CR-POPF) ((14 (10.45%) VS 20 (22.73%)), P=0.013) were observed in the T-tube group. The total incidence of biliary anastomotic stricture (BAS) was 3.15%. The incidence was slightly lower in the T-tube group, but there was no statistically significant differentiation (6 (4.48%) VS 1 (1.14%), P=0.317).</p><p><strong>Conclusions: </strong>It is not feasible to prevent postoperative complications with the application of a T-tube in PD.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11414196/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12893-024-02570-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Postoperative complications of pancreaticoduodenectomy (PD) are still a thorny problem. This study aims to verify the preventative impact of T-tube on them.
Methods: The electronic medical records and follow-up data of patients who received pancreaticoduodenectomy in our center from July 2016 to June 2020 were reviewed. According to whether T tube was placed during the operation, the patients were divided into T-tube group and not-T-tube group. Propensity score matching analysis was performed to minimize selection bias.
Results: A total of 330 patients underwent PD (Not-T-tube group =226, T-tube group=104). Propensity score matching resulted in 222 patients for further analysis (Not-T-tube group =134, T-tube group=88). Patients' demographics were comparable in the matched cohorts. Significantly higher incidences of clinically relevant postoperative pancreatic fistula (CR-POPF) ((14 (10.45%) VS 20 (22.73%)), P=0.013) were observed in the T-tube group. The total incidence of biliary anastomotic stricture (BAS) was 3.15%. The incidence was slightly lower in the T-tube group, but there was no statistically significant differentiation (6 (4.48%) VS 1 (1.14%), P=0.317).
Conclusions: It is not feasible to prevent postoperative complications with the application of a T-tube in PD.
背景:胰十二指肠切除术(PD)术后并发症仍是一个棘手的问题。本研究旨在验证 T 型管对预防并发症的影响:方法:回顾性分析本中心 2016 年 7 月至 2020 年 6 月期间接受胰十二指肠切除术患者的电子病历和随访资料。根据手术中是否放置 T 型管,将患者分为 T 型管组和非 T 型管组。为减少选择偏倚,进行了倾向评分匹配分析:共有330名患者接受了腹腔镜手术(未置管组=226人,置管组=104人)。倾向得分匹配后,有222名患者接受了进一步分析(非试管组=134人,试管组=88人)。配对组患者的人口统计学特征相当。临床相关的术后胰瘘(CR-POPF)发生率(14 (10.45%) VS 20 (22.73%),P=0.013)明显高于T管组。胆道吻合口狭窄(BAS)的总发生率为 3.15%。T型管组的发生率略低,但差异无统计学意义(6 (4.48%) VS 1 (1.14%),P=0.317):结论:在腹腔镜手术中应用 T 型管预防术后并发症是不可行的。