Packing of the Gastroduodenal Artery Stump Using Falciform Ligament During Pancreaticoduodenectomy.

IF 1.6 4区医学 Q4 ONCOLOGY Anticancer research Pub Date : 2024-11-01 DOI:10.21873/anticanres.17339

Teruyuki Usuba, Ryota Iwase, Yuichi Nakaseko, Shinji Onda, Yoshihiro Shirai, Masashi Tsunematsu, Masaichi Ogawa, Toru Ikegami

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Abstract

Background/aim: Pseudoaneurysm formation is a potentially fatal complication after pancreaticoduodenectomy. We developed a packing method in which the gastroduodenal artery stump is packed inside a falciform ligament to reduce the post-pancreatectomy hemorrhage due to pseudoaneurysm formation. This study aimed to evaluate its efficacy.

Patients and methods: This study included 210 patients who underwent pancreaticoduodenectomies between January 2007 and December 2023. The study population was divided into two groups; the packing group (n=110) and the no-packing group (n=100), and the clinical variables were compared between the two groups.

Results: Pseudoaneurysms were observed in six (2.9%) patients, and post-pancreatectomy hemorrhage was observed in four (1.9%) patients. There was no significant difference in pseudoaneurysm formation between the packing and no-packing groups (p=0.477), and the mortality rates for both pseudoaneurysm and post-pancreatectomy hemorrhage were zero. Two patients in the no-packing group were found to have shock, whereas four patients in the packing group (n=4) did not. Additionally, we encountered a 6 cm unruptured pseudoaneurysm following packing.

Conclusion: The packing method did not reduce pseudoaneurysm formation after pancreaticoduodenectomy, but may prevent pseudoaneurysm rupture.

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在胰十二指肠切除术中使用镰状韧带包装胃十二指肠动脉残端

背景/目的：假性动脉瘤的形成是胰十二指肠切除术后潜在的致命并发症。我们开发了一种填塞方法，将胃十二指肠动脉残端填塞在镰状韧带内，以减少假性动脉瘤形成导致的胰腺切除术后出血。本研究旨在评估其疗效：本研究纳入了 2007 年 1 月至 2023 年 12 月间接受胰十二指肠切除术的 210 例患者。研究对象分为两组：填料组（n=110）和无填料组（n=100），并比较了两组的临床变量：6例（2.9%）患者出现假性动脉瘤，4例（1.9%）患者出现胰腺切除术后出血。包装组和未包装组在假性动脉瘤形成方面无明显差异（P=0.477），假性动脉瘤和胰腺切除术后出血的死亡率均为零。未包装组有两名患者出现休克，而包装组有四名患者（n=4）未出现休克。此外，我们还发现了一个包装后未破裂的 6 厘米假性动脉瘤：结论：填塞法并不能减少胰十二指肠切除术后假性动脉瘤的形成，但可以防止假性动脉瘤破裂。

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

Anticancer research 医学-肿瘤学

CiteScore

3.70

自引率

10.00%

发文量

566

审稿时长

2 months

期刊介绍： ANTICANCER RESEARCH is an independent international peer-reviewed journal devoted to the rapid publication of high quality original articles and reviews on all aspects of experimental and clinical oncology. Prompt evaluation of all submitted articles in confidence and rapid publication within 1-2 months of acceptance are guaranteed. ANTICANCER RESEARCH was established in 1981 and is published monthly (bimonthly until the end of 2008). Each annual volume contains twelve issues and index. Each issue may be divided into three parts (A: Reviews, B: Experimental studies, and C: Clinical and Epidemiological studies). Special issues, presenting the proceedings of meetings or groups of papers on topics of significant progress, will also be included in each volume. There is no limitation to the number of pages per issue.