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Rate of Post-Operative Pancreatic Fistula after Robotic-Assisted Pancreaticoduodenectomy with Pancreato-Jejunostomy versus Pancreato-Gastrostomy: A Retrospective Case Matched Comparative Study
- Source :
- Journal of Clinical Medicine, Volume 10, Issue 10, Journal of Clinical Medicine, Vol 10, Iss 2181, p 2181 (2021)
- Publication Year :
- 2021
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2021.
-
Abstract
- Background: Different techniques of pancreatic anastomosis have been described, with inconclusive results in terms of pancreatic fistula reduction. Studies comparing robotic pancreaticogastrostomy (PG) and pancreaticojejunostomy (PJ) are scarcely reported. Methods: The present study analyzes the outcomes of two case-matched groups of patients who underwent PG (n = 20) or PJ (n = 40) after pancreaticoduodenectomy. The primary aim was to compare the rate of post-operative pancreatic fistula. Results: Operative time (375 vs. 315 min, p = 0.34), estimated blood loss (270 vs. 295 mL, p = 0.44), and rate of clinically relevant post-operative pancreatic fistula (12.5% vs. 10%, p = 0.82) were similar between the two groups. PJ was associated with a higher rate of intra-abdominal collections (7.5% vs. 0%, p = 0.002), but lower post-pancreatectomy hemorrhage (2.5% vs. 10%, p = 0.003). PG was associated with a lower rate of post-operative pancreatic fistula (POPF) (33.3% vs. 50%, p = 0.003) in the high-risk group of patients. Conclusions: The outcomes of post-operative pancreatic fistula are comparable between the two reconstruction techniques. PG may have a lower incidence of POPF in patients with high-risk of pancreatic fistula.
- Subjects :
- medicine.medical_specialty
Robotic assisted
medicine.medical_treatment
Anastomosis
Article
robotic pancreatic surgery
03 medical and health sciences
0302 clinical medicine
pancreatic fistula
Blood loss
Medicine
Post operative
business.industry
General Medicine
Pancreaticoduodenectomy
medicine.disease
Gastrostomy
Surgery
Pancreatic fistula
pancreato-gastrostomy
030220 oncology & carcinogenesis
Jejunostomy
030211 gastroenterology & hepatology
business
Subjects
Details
- Language :
- English
- ISSN :
- 20770383
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Medicine
- Accession number :
- edsair.doi.dedup.....e0312729ef571c59031e101c27aa0998
- Full Text :
- https://doi.org/10.3390/jcm10102181