Application of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy on 184 patients

Q4 Medicine 中华肝胆外科杂志 Pub Date : 2019-11-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2019.11.011

Qingmin Chen, Yingchao Wang, Songyang Liu, Wei Zhang, Kai Liu, B. Ji

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引用次数: 2

Abstract

Objective To evaluate the efficacy and safety of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy. Methods A retrospective analysis was carried out on 184 patients who underwent laparoscopic pancreaticoduodenectomy using Hong's pancreaticojejunostomy (the Hong’s pancreaticojejunostomy group) compared with 100 patients who underwent laparoscopic pancreaticoduodenectomy using traditional pancreaticojejunostomy (the traditional pancreaticojejunostomy group) at Department of Second Hepatobiliary and Pancreatic Surgery, the First Bethune Hospital of Jilin University, from April 2016 to December 2018. The differences between the two anastomotic methods in operation time, pancreaticojejunostomy time, intraoperative blood loss, postoperative hospital stay, postoperative complications, and incidences of pancreatic fistula were compared. Results The operation time, pancreaticojejunostomy time and intraoperative blood loss of the Hong's pancreaticojejunostomy group were significantly less than the traditional pancreaticojejunostomy group [(278.2±49.3) min vs. (337.3±67.4) min, (33.7±6.6) min vs. (46.8±8.5) min, (123.1±44.7) ml vs. (203.8±138.6) ml], respectively, (all P 0.05). Conclusions Hong's pancreaticojejunostomy was safe, rapid and effective compared with traditional pancreaticojejunostomy. It did not increase the incidence of pancreatic fistula. Key words: Pancreaticoduodenectomy; Laparoscopes; Pancreaticojejunostomy

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洪胰肠吻合术在腹腔镜胰十二指肠切除术中的应用（附184例报告）

目的评价洪胰肠吻合术在腹腔镜胰十二指肠切除术中的疗效和安全性。方法对184例采用洪氏胰肠吻合术行腹腔镜胰十二指肠切除术的患者（洪氏胰管吻合术组）与100例在第二肝胆科采用传统胰肠吻合术进行腹腔镜胰十二指肠摘除术的患者进行回顾性分析吉林大学白求恩第一医院胰腺外科，2016年4月至2018年12月。比较两种吻合方法在手术时间、胰肠吻合术时间、术中出血量、术后住院时间、术后并发症和胰瘘发生率方面的差异。结果洪氏胰肠造口术组的手术时间、胰肠造口时间和术中出血量分别显著少于传统胰肠造口组[（278.2±49.3）minvs.（337.3±67.4）min[（33.7±6.6）minvs（46.8±8.5）min[、（123.1±44.7）mlvs.（203.8±138.6）ml]，结论与传统胰肠吻合术相比，洪胰肠吻合术安全、快速、有效。它并没有增加胰瘘的发生率。关键词：胰十二指肠切除术；腹腔镜；胰肠造口术

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.