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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.12
- 수록면
- 286 - 294 (9page)
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Purpose: Pancreatic fistulas are a leading cause of mortality and morbidity following pancreaticoduodenectomy. The objective of this study was to evaluate the possibility of controlling pancreatic fistula formation by binding pancreaticojejunostomy into the operative procedure, as proposed by Peng, which results in a 3 cm invagination of the pancreatic remnant by the jejunal segment bearing electrically-destroyed mucosa reinforced by inner and outer sutures.
Methods: Prospectively collected data of patients undergoing pancreaticoduodenectomy in the Department of Surgery of Daejeon St. Mary’s hospital between April 2007 and May 2009 were analyzed retrospectively. Thirty-one patients were included in the study; 16 patients underwent dunking pancreaticojejunostomy and 15 patients underwent binding pancreaticojejunostomy.
Results: The two groups were comparable with respect to demographic data, pre-operative characteristics, underlying pathologies, pancreatic textures, and duct diameters. The mean operative time did not differ between the two groups (388±29 min vs. 459±21 min, p=0.060). No difference existed in the post-operative course except for the degree of complications. In contrast to the dunking group, in which 2 cases of grade III/V pancreatic fistulas occurred, the binding group had no severe complications. In addition, transformation of amylase data measured from Jackson-Pratt drains into a natural logarithm demonstrated significant differences on post-operative (POD) days 1, 3, and 7 between the dunking and binding groups (POD1, 6.97±0.41 vs. 6.10±0.44 [p=0.037]; POD3, 6.97±0.41 vs. 6.10±0.44 [p=0.032]; POD7, 4.69±0.35 vs. 3.88±0.25 [p=0.034], respectively).
Conclusion: Bindning pancreaticojejunostomy is equivalent to dunking pancreaticojejunostomy with respect to operative difficulties, and more effective in preventing complications related to pancreatic fistulas.
Methods: Prospectively collected data of patients undergoing pancreaticoduodenectomy in the Department of Surgery of Daejeon St. Mary’s hospital between April 2007 and May 2009 were analyzed retrospectively. Thirty-one patients were included in the study; 16 patients underwent dunking pancreaticojejunostomy and 15 patients underwent binding pancreaticojejunostomy.
Results: The two groups were comparable with respect to demographic data, pre-operative characteristics, underlying pathologies, pancreatic textures, and duct diameters. The mean operative time did not differ between the two groups (388±29 min vs. 459±21 min, p=0.060). No difference existed in the post-operative course except for the degree of complications. In contrast to the dunking group, in which 2 cases of grade III/V pancreatic fistulas occurred, the binding group had no severe complications. In addition, transformation of amylase data measured from Jackson-Pratt drains into a natural logarithm demonstrated significant differences on post-operative (POD) days 1, 3, and 7 between the dunking and binding groups (POD1, 6.97±0.41 vs. 6.10±0.44 [p=0.037]; POD3, 6.97±0.41 vs. 6.10±0.44 [p=0.032]; POD7, 4.69±0.35 vs. 3.88±0.25 [p=0.034], respectively).
Conclusion: Bindning pancreaticojejunostomy is equivalent to dunking pancreaticojejunostomy with respect to operative difficulties, and more effective in preventing complications related to pancreatic fistulas.
목차
서론
방법
결과
고찰
참고문헌
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Molinari E / 2007 / Amylase value in drains after pancreatic resection as predictive factor of postoperative pancreatic fistula: results of a prospective study in 137 patients / Ann Surg 246 : 281 ~ 287
2. [학술지(정기간행물)] - Benzoni E / 2008 / The role of pancreatic leakage on rising of postoperative complications following pancreatic surgery / J Surg Res 149 : 272 ~ 277
3. [학술지(정기간행물)] - Lin JW / 2004 / Risk factors and outcomes in postpancreaticoduodenectomy pancreaticocutaneous fistula / J Gastrointest Surg 8 : 951 ~ 959
4. [학술지(정기간행물)] - Yeo CJ / 1995 / A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy / Ann Surg 222 : 580 ~ 592
5. [학술지(정기간행물)] - Peng S / 2002 / Binding pancreaticojejunostomy is a new technique to minimize leakage / Am J Surg 183 : 283 ~ 285
2. [학술지(정기간행물)] - Benzoni E / 2008 / The role of pancreatic leakage on rising of postoperative complications following pancreatic surgery / J Surg Res 149 : 272 ~ 277
3. [학술지(정기간행물)] - Lin JW / 2004 / Risk factors and outcomes in postpancreaticoduodenectomy pancreaticocutaneous fistula / J Gastrointest Surg 8 : 951 ~ 959
4. [학술지(정기간행물)] - Yeo CJ / 1995 / A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy / Ann Surg 222 : 580 ~ 592
5. [학술지(정기간행물)] - Peng S / 2002 / Binding pancreaticojejunostomy is a new technique to minimize leakage / Am J Surg 183 : 283 ~ 285
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UCI(KEPA) : I410-ECN-0101-2014-514-001253450