Miranda-Dévora G, López-Basave HN, Montalvo-Esquivel G, León-Takahashi AM, Herrera-Gómez Á, Padilla-Rosciano AE

Language: Spanish
References: 17
Page: 192-198
PDF size: 373.78 Kb.

ABSTRACT

Introduction: Pancreatoduodenectomy reconstruction demands an extensive knowledge of anatomical and technical ability to obtain better outcomes. Pancreaticogastrostomy (PG) as an alternative reconstruction to decreased a pancreatic fistula and morbidity has been reported in different papers. Objective: Describe the initial experience with pancreaticogastrostomy (PG) reconstruction during the first thirty days post-surgery in the Instituto Nacional de Cancerologia Mexico. Material and methods: During the period from March 2014 to April 2015 a retrospective-observational study was conducted. Twelve patients reconstructed with PG electively by nine residents under the supervision of a senior oncological surgeon were studied. Results: Seven male (58.3%), five female (41.7%) underwent PG after a pancreaticoduodenectomy in 83.3% (N10) with pyloric preservation and 16.7% gastro-jejunal anastomosis by Y in Roux. Operating time was 501 min (420-610), average bleeding 611 ml (150-1,500 ml), general morbidity 41.7% (N5), one bile leakage (8.3%), mortality 0%, re-interventions 0%, rehospitalization 3 (25 %). Conclusions: Decreased pancreatic fistula following reconstruction PG, and reproducible procedure in young surgeons makes this type of reconstruction a therapeutic option during pancreatoduodenectomy.

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