Use of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy.
Τίτλος | Use of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Ballas, K., Symeonidis N., Rafailidis S., Pavlidis T., Marakis G., Mavroudis N., & Sakantamis A. |
Journal | World J Gastroenterol |
Volume | 16 |
Issue | 25 |
Pagination | 3178-82 |
Date Published | 2010 Jul 7 |
ISSN | 2219-2840 |
Λέξεις κλειδιά | Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pancreatic Neoplasms, Pancreaticoduodenectomy, Pancreaticojejunostomy, Postoperative Complications, Reconstructive Surgical Procedures, Retrospective Studies, Treatment Failure, Treatment Outcome |
Abstract | AIM: To evaluate the efficacy of the isolated Roux loop technique in decreasing the frequency of pancreaticojejunal anastomosis failure.METHODS: We retrospectively reviewed 88 consecutive patients who underwent pancreaticoduodenectomy (standard or pylorus-preserving). Single jejunal loop was used in 42 patients (SL group) while isolated Roux loop was used in 46 patients (RL group). Demographic characteristics (age, gender) and perioperative results (major/minor complications, mortality, hospital stay) were compared between the two groups.RESULTS: Mortality was almost equal in both groups and overall mortality was 2.27%. Leak rate from the pancreaticojejunal anastomosis and hospital stay were lower in the RL group without significant difference. Morbidity was 39.1% in the RL group, insignificantly higher than the SL group. Operative time was almost 30 min longer in the RL group.CONCLUSION: The isolated Roux loop, although an equally safe alternative, does not present advantages over the traditional use of a single jejunal loop. Randomized controlled studies are required to further clarify its efficacy. |
Alternate Journal | World J. Gastroenterol. |
PubMed ID | 20593503 |
PubMed Central ID | PMC2896755 |