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Cirujano general

versão impressa ISSN 1405-0099

Resumo

MIRANDA-DEVORA,, Gerardo et al. Pancreaticogastrostomy as an alternative reconstruction after pancreaticoduodenectomy. Initial experience in the Instituto Nacional de Cancerología México. Cir. gen [online]. 2016, vol.38, n.4, pp.192-198.  Epub 16-Abr-2020. ISSN 1405-0099.

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.

Palavras-chave : Pancreatic cancer; reconstruction; Whipple; pancreaticogastrostomy.

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