A comparative study between duct-to-mucosa and invagination technique for reconstruction after pancreaticoduodenectomy

Joint Event on 34^th Euro-Global Summit on Cancer Therapy & Radiation Oncology & 6^th International Conference on Big Data Analysis and Data Mining & 13^th International Conference on Orthopedics, Arthroplasty and Rhe

July 25-27, 2019 London, UK

Ahmed Hussein Abdelhafez

University of AIN SHAMS, Egypt

Posters & Accepted Abstracts: J Cancer Sci Ther

Abstract :

Background: The pancreaticojejunostomy has notoriously been known to carry a high rate of operative complications; morbidity, and mortality mainly due to anstomotic leak and ensuing septic complications.

Patients and methods: From January 2012 to October 2015, we presented a prospective study which included 24 patients who underwent pancreaticoduodenectomy(PD) operation through either Whipple resection or modified Whipple(pylorus-preserving).Patients were reviewed and divided into 2 groups (A,B ) according to the type of pancreaticojejunostomy( PJ), (invagination vs duct-to-mucosa ).

Results: 24 patients were operated on: Group A; twelve patients had invagination technique for PJ ,while the twelve patients in group B had duct â??to-mucosa anastomotic technique for PJ,1 (8.3%)case in group A developed pancreatic fistula (PF),while 3 (25%) cases in group B developed PF, and 1 case (8.3%) in group A had mild anastomotic leak which was managed conservatively, while 3 cases (25%) in group B developed moderate to severe anastomotic leak with intra-abdominal collection which required CT-guided percutaneous drainage and operative intervention. Average age was (mean ± SD)= (55±12),average operative time was (245±75) min.

Conclusions: P. Fistula after PD represents an alarming trigger of potentially life-threatening complications. Although the best method for dealing with the pancreatic stump after PD remains controversial, many reports described that with the invagination technique; the rate of PF could decrease significantly compared to the duct-tomucosa technique.

Keywords: Pancreatic fistula (PF), pancreaticodudenectomy (PD), pancreaticojejunostomy (PJ).

Biography :

E-mail: ahmadabdelhafez@yahoo.com