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Open Access 10-10-2023 | Pancreaticojejunostomy | Original Article

Application of an innovative pancreaticojejunostomy technique with a modified set of perioperative management in pancreatoduodenectomy: a retrospective cohort study

Authors: Shiyin Chen, Cheng Zhang, Haifeng Huang, Bin Xi, Jian Zhang, Yibing Jin, Shunliang Gao, Yun Zhang

Published in: Updates in Surgery | Issue 8/2023

Abstract

How to reduce grade C postoperative pancreatic fistula (POPF) incidence after pancreaticoduodenectomy (PD) is the pursuit of pancreatic surgeons. This study introduced an innovative pancreaticojejunostomy (PJ) technique with a complete set of perioperative management. All 144 patients in this single-center retrospective cohort study underwent the same PJ technique and perioperative management. The primary endpoint was grade C POPF incidence. The secondary endpoints were grade B POPF rate, drain fluid amylase level, complications, hospital stay duration, and mortality. Risk factors for clinically-relevant POPF (CR-POPF) were assessed by logistic regression analysis. No patient (0.0%) experienced grade C POPF, while 44 (30.6%) developed grade B. No in-hospital death was recorded. Multivariate analysis found relatively high body mass index, laparoscopic surgery, and soft or moderate pancreatic texture independent risk factors for CR-POPF. Our novel PJ anastomosis with modified perioperative management helped avoid grade C POPF. However, grade B POPF incidence was relatively high to some extent because of the enhanced management itself.

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Title: Application of an innovative pancreaticojejunostomy technique with a modified set of perioperative management in pancreatoduodenectomy: a retrospective cohort study
Authors: Shiyin Chen
Cheng Zhang
Haifeng Huang
Bin Xi
Jian Zhang
Yibing Jin
Shunliang Gao
Yun Zhang
Publication date: 10-10-2023
Publisher: Springer International Publishing
Keyword: Pancreaticojejunostomy
Published in: Updates in Surgery / Issue 8/2023
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-023-01651-z

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Application of an innovative pancreaticojejunostomy technique with a modified set of perioperative management in pancreatoduodenectomy: a retrospective cohort study

Abstract

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Abstract

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