Initial Experience with a New Technique of Binding Pancreaticogastrostomy: A Prospective Study
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To study postoperative complications in patients undergoing binding pancreaticogastrostomy (PG) following pancreaticoduodenectomy (PD) in a tertiary hospital in India.
A prospective study was conducted of patients undergoing binding PG following PD over a 2-year period. The demographic and preoperative laboratory data of the patients, the type of procedure, complications, hospital mortality, duration of hospital stay, and postoperative interventional procedures or reoperations were recorded and examined for associations. Statistical analysis was performed using Stata 9.0 (College Station, Texas, USA).
Over 2 years, 47 patients, 29 men and 18 women, mean age 55.4 ± 11.6 years, who underwent binding PG following PD were included in the study. Postoperative complications were recorded in 23 patients and there were 2 deaths in the first 30 days following surgery. The most frequent complication was delayed gastric emptying (DGE), observed in 11 patients (23%), with a mean duration of 13.5 ± 2.6 days. Post-operative pancreatic leak, which was detected in 3 patients (6%), did not appear to be influenced by the pancreatic duct diameter or the softness of the pancreas, which are known independent factors responsible for pancreatic leak.
The technique of binding PG is simple, safe, easy to perform, and less traumatic to the pancreatic stump, with fewer complications, and it can be performed without significant adverse outcome, irrespective of pancreatic stump texture or pancreatic duct diameter.
Key wordsBinding pancreaticogastrostomy pancreaticoduodenectomy pancreatic leak pancreatic anastomosis
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