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Is pancreaticogastrostomy safer than pancreaticojejunostomy?
Author(s) -
Nakao Akimasa,
Fujii Tsutomu,
Sugimoto Hiroyuki,
Kaneko Tetsuya,
Takeda Shin,
Inoue Soichiro,
Nomoto Shuji,
Kanazumi Naohito
Publication year - 2006
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-005-1034-8
Subject(s) - pancreaticoduodenectomy , medicine , anastomosis , pancreatic fistula , surgery , mortality rate , incidence (geometry) , fistula , pancreas , resection , physics , optics
Background/Purpose Failure of a pancreatic—enteric anastomosis very frequently leads to morbidity and mortality after pancreaticoduodenectomy. Pancreaticojejunostomy or pancreaticogastrostomy is often used after pancreaticoduodenectomy. The many reports on pancreaticogastrostomy support the low rates of anastomotic leakage and mortality compared with pancreaticojejunostomy. Methods Between January 1995 and December 2004, 155 pancreaticojejunostomies and 58 pancreaticogastrostomies were performed after pancreatic resection in the Second Department of Surgery of Nagoya University Hospital. Postoperative morbidity and mortality were analyzed. Results The incidence of pancreatic fistula was similar for the pancreaticojejunostomy (12.2%) and pancreaticogastrostomy (20.7%) groups and the mortality rate was 0% in both groups. Conclusions This restrospective clinical study suggested no significant difference in the incidence rate of pancreatic fistula and mortality between pancreaticojejunostomy and pancreaticogastrostomy.