Isolated Roux loop versus conventional pancreaticojejunostomy following pancreaticoduodenectomy

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Published: Mar 1, 2022
Keywords:
Anastomotic leak, Pancreatic fistula, Pancreaticoduodenectomy, Roux en y anastomosis

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Egemen Ozdemir
Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey
Cihan Gokler
Department of Gastrointestinal Surgery, Adıyaman Training and Research Hospital, Adıyaman, Turkey
Orgun Gunes
Department of Gastrointestinal Surgery, Malatya Training and Research Hospital, Malatya, Turkey
Kuntay Kaplan
Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey
Mehmet Can Aydin
Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey
Fatih Sumer
Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey
Cuneyt Kayaalp
Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey

Abstract

AIM: This study aimed to examine the effects of isolated Roux loop (IP) versus conventional pancreaticojejunostomy (CP) techniques on the rate of postoperative pancreatic fistula and its severity.


MATERIAL AND METHODS: This study included retrospectively collected data from 132 patients who underwent pancreaticoduodenectomy in a single institute. Collected data were compared between IP and CP groups. Postoperative pancreatic fistula and its grades were defined according to International Study Group on Pancreatic Fistula (ISGPF) definition.


RESULTS: A total of 58 patients had IP and 74 patients had CP. Biochemical leak (IP 20.6% versus CP 14.9%, p=0.38) and grade B/C pancreatic fistula (IP 20.6% versus CP 32.4%, p=0.13) rates of both groups were similar.


Durations of hospital stay and intensive care unit stay and 30-day mortality rates of the two groups were similar.


CONCLUSION: Isolated Roux loop reconstruction following pancreaticoduodenectomy is not associated with a lower rate of pancreatic fistula but may contribute to reducing the severity of pancreatic fistula.

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How to Cite
Egemen Ozdemir, et al. “Isolated Roux Loop Versus Conventional Pancreaticojejunostomy Following Pancreaticoduodenectomy”. Annali Italiani Di Chirurgia, vol. 93, no. 2, Mar. 2022, pp. 248-53, https://annaliitalianidichirurgia.it/index.php/aic/article/view/995.
Issue
Vol. 93 No. 2 (2022)
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Article