1. Application Analysis of Omental Flap Isolation and Modified Pancreaticojejunostomy in Pancreaticoduodenectomy (175 Cases)
- Author
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Shun, Deng, Jianhong, Luo, Yongzhong, Ouyang, Jiangbo, Xie, Zhuo, He, Bo, Huang, Fei, Bai, Ke, Xiao, Bin, Yin, Jinfeng, Wang, Biaoming, Xu, and Chaohui, Zuo
- Subjects
Pancreatic Fistula ,Pancreatectomy ,Pancreaticojejunostomy ,Humans ,Surgery ,General Medicine ,Aged ,Pancreaticoduodenectomy ,Retrospective Studies - Abstract
Background To explore the application value of free omental wrapping and modified pancreaticojejunostomy in pancreaticoduodenectomy (PD). Methods The clinical data of 175 patients who underwent pancreaticoduodenectomy from January 2015 to December 2020 were retrospectively analysed. In total, 86 cases were divided into Group A (omental wrapping and modified pancreaticojejunostomy) and 89 cases were divided into Group B (control group). The incidences of postoperative pancreatic fistula and other complications were compared between the two groups, and univariate and multivariate logistic regression analyses were used to determine the potential risk factors for postoperative pancreatic fistula. Risk factors associated with postoperative overall survival were identified using Cox regression. Results The incidences of grade B/C pancreatic fistula, bile leakage, delayed bleeding, and reoperation in Group A were lower than those in Group B, and the differences were statistically significant (P Conclusions Wrapping and isolating the modified pancreaticojejunostomy with free greater omentum can significantly reduce the incidence of postoperative pancreatic fistula and related complications, inhibit the development of inflammation, and favourably affect prognosis.
- Published
- 2021