Detailed Abstract
[Poster - Pancreas Disease/Surgery]
[P116] Conventional vs pylorus-preserving pancreaticoduodenectomy with pancreaticogastrostomy
Jiongze FANG1, Caide LU1, Shengdong WU1, Jing HUANG1, Jie ZHOU1
1Hepatobiliary Surgery, Ningbo Lihuili Eastern Hospital, Medical School of Ningbo University, China
2Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, China, China
Introduction : Between conventional pancreaticoduodenectomy(CPD) and pylorus-preserving pancreaticoduodenectomy(PPPD), there is still controversy about the superiority of adopting one method over the other in combination with pancreaticogastrostomy(PG).There are few reports about cases of PPPD with PG.
Methods : We studied cases of pancreaticoduodenectomy (PD) with PG for pancreatic head and periampullary carcinoma in our medical center, retrospectively. The data were gathered from 152 patients who underwent CPD/PPPD with PG from January 2010 to April 2015. Cases under study were divided into two groups: CPD group (group A, 101 cases) and PPPD group (group B, 51cases). The data included preoperative, intraoperative and postoperative conditions of both groups. The outcomes of perioperative data were investigated.
Results : No significant statistical difference of the preoperative data was detected between two groups. Despite less blood loss (p = 0.011), the overall postoperative complications of group B was significantly higher than that of group A (56.7% vs 34.7%, p = 0.009). The single complication, majorly the postoperative pancreatic fistula (POPF) rate, of group B was significantly higher than that of group A (29.4% vs 11.9%, p = 0.008).
Conclusions : Although PPPD with PG may reduce intraoperative blood loss, it can significantly increase postoperative complications, especially POPF. Therefore, PPPD with PG is not recommended for treatment of pancreatic head and periampullary lesions.
Methods : We studied cases of pancreaticoduodenectomy (PD) with PG for pancreatic head and periampullary carcinoma in our medical center, retrospectively. The data were gathered from 152 patients who underwent CPD/PPPD with PG from January 2010 to April 2015. Cases under study were divided into two groups: CPD group (group A, 101 cases) and PPPD group (group B, 51cases). The data included preoperative, intraoperative and postoperative conditions of both groups. The outcomes of perioperative data were investigated.
Results : No significant statistical difference of the preoperative data was detected between two groups. Despite less blood loss (p = 0.011), the overall postoperative complications of group B was significantly higher than that of group A (56.7% vs 34.7%, p = 0.009). The single complication, majorly the postoperative pancreatic fistula (POPF) rate, of group B was significantly higher than that of group A (29.4% vs 11.9%, p = 0.008).
Conclusions : Although PPPD with PG may reduce intraoperative blood loss, it can significantly increase postoperative complications, especially POPF. Therefore, PPPD with PG is not recommended for treatment of pancreatic head and periampullary lesions.
SESSION
Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM