Selective application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy

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Author:
WU Qing-song(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
LIN Ya-fei(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
ZHAO Jia-feng(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
WANG Jian-nan(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
HUANG Cong-yun(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
ZHANG Xiao-long(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
ZHU Jian-hua(Department of Hepatobiliary Surgery, Yuebei People's Hospital of Shaoguan, Medical College ,Shantou University, Shaoguan 512026, China)
Journal Title:
CHINESE JOURNAL OF PANCREATOLOGY
Issue:
Volume 11, Issue 01, 2011
DOI:
10.3760/cma.j.issn.1674-1935.2011.01.005
Key Word:
Pancreaticoduodenectomy;Pancreaticojejunostomy;Pancreatic fistula

Abstract: Objective To analyze and summarize the efficacy and the experience in the application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy in pancreaticoduodenectomy. Methods Between Jan.2005 and Dec. 2009, a total of 38 patients who underwent bundled pancreaticojejunostomy was enrolled, and their clinical data were retrospectively analyzed. 20 patients received type Ⅰ bundled pancreaticojejunostomy and 18 patients received type Ⅱ bundled pancreaticojejunostomy. The operative time, postoperative hospital stay, mortality and complications were compared. Results The operative time of type Ⅰ bundled pancreaticojejunostomy was (91 ± 20) min, and it was (63 ± 21) min in type Ⅱ procedure, and the difference was statistically significant (P < 0. 05). The mortality and complications, postoperative hospital stay were 10.0%(2/20), 45.0% (9/20) and (20 ±2)d in type Ⅰ procedure, while they were 5.6% (1/18),38.9% (7/18) and(23 ±2)d in type Ⅱ procedure, and the difference was not statistically significant.Conclusions There was no significant difference in the effects between type Ⅰ and type Ⅱ bundled pancreaticojejunostomy. Carefully selective application of type Ⅰ and type Ⅱ bundled pancreaticojejunostomy helps complete these procedures.

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