1. Whether T-tube biliary drainage is necessary after pancreaticoduodenectomy: a single-center retrospective study.
- Author
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Luo X, Zhuo X, Lin X, Lin R, Yang Y, Wang C, Fang H, Huang H, and Lu F
- Subjects
- Humans, Male, Female, Retrospective Studies, Middle Aged, Aged, Incidence, Adult, Pancreaticoduodenectomy adverse effects, Postoperative Complications prevention & control, Postoperative Complications epidemiology, Postoperative Complications etiology, Drainage instrumentation, Pancreatic Fistula prevention & control, Pancreatic Fistula epidemiology, Pancreatic Fistula etiology, Propensity Score
- Abstract
Background: Postoperative complications of pancreaticoduodenectomy (PD) are still a thorny problem. This study aims to verify the preventative impact of T-tube on them., Methods: The electronic medical records and follow-up data of patients who received pancreaticoduodenectomy in our center from July 2016 to June 2020 were reviewed. According to whether T tube was placed during the operation, the patients were divided into T-tube group and not-T-tube group. Propensity score matching analysis was performed to minimize selection bias., Results: A total of 330 patients underwent PD (Not-T-tube group =226, T-tube group=104). Propensity score matching resulted in 222 patients for further analysis (Not-T-tube group =134, T-tube group=88). Patients' demographics were comparable in the matched cohorts. Significantly higher incidences of clinically relevant postoperative pancreatic fistula (CR-POPF) ((14 (10.45%) VS 20 (22.73%)), P=0.013) were observed in the T-tube group. The total incidence of biliary anastomotic stricture (BAS) was 3.15%. The incidence was slightly lower in the T-tube group, but there was no statistically significant differentiation (6 (4.48%) VS 1 (1.14%), P=0.317)., Conclusions: It is not feasible to prevent postoperative complications with the application of a T-tube in PD., (© 2024. The Author(s).)
- Published
- 2024
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