A Comparative Study between Duct-to-Mucosa and Invagination Technique for Reconstruction after Pancreaticoduodenectomy: Aprospective Study

Experts Meeting on Cancer Medicine, Radiology & Treatment

April 11-12, 2022 | Webinar

Ahmed HusseinAbd El lza.fiz

Ain Shams University, Egypt

Scientific Tracks Abstracts: J Cancer Sci Ther

Abstract :

Patients and methods: From January 2012 to October 2015, we presented a prospective study which included 24 pati ents who underwent pancreaticoduodenectomy (PD) operation through either Whipple resection or modified Whipple(pyloruspres erving).Patients ,,•ere reviewed and divided into 2 groups (A.BJ according to the type of pancreaticojejunostomy (PJ). (invagination vs duct-to-mucosa). Results: 12 patients in each group were operated on: Group A patients had inrngination techniquefor PJ ,while all the 12patients ingroup B had duct -to-mucosa anastomotic technique for PJ 1 (8.3%)case ingroup A developedpancreaticfistu la (PF),while 3 (25°oJ cases ingroup B developed PF, and 1 case (8.3%) in group A had mild anastomotic leak which ,,.as managed conservatively,while 3 cases (25%) in group B dereloped moderate to serere anastomotic leak with intra-abdominal collection which required CT-guided percutaneous drainage and operative intervention. Average age was (mean ±SD) = (55 ±12),arerage operatire time was (245 ±75) min. Co11c/11sio11: PF after PD represents a critical trigger of potentially life-threatening complications. Although thebest methodfor dealing with thepancreaticstumpafter PD remains controversial, recent reports described the invagination technique todecrease the rate of PF significantly compared to the duct-to-mucosa technique. Our results appeared to be closely related to thepublished literature. Key words: Pancreaticfistula (PF),pancreaticodudenectomy (PD), pancreaticojejunostomy (PJ). invagination technique, duct-to-mucosa technique.

Biography :

Ahmed HusseinAbd El lza.fiz from , Ain Shams University, Cairo, Egypt Department of General Surgery.