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Date Published: 15/06/2023
Abstract Views: 339
Views PDF: 140
DOI: https://doi.org/10.51298/vmj.v527i1.5656
Issue
Vol. 527 No. 1 (2023)
Section
Các bài báo
How to Cite
Hồ , V. L. ., & Đặng, Q. Ái . (2023). THE MODIFICATION OF THE BLUMGART TECHNIQUE IN PANCREATICOJEJUNOSTOMY ANASTOMOSIS AFTER CEPHALIC PANCREATICODUODENECTOMY. Vietnam Medical Journal, 527(1). https://doi.org/10.51298/vmj.v527i1.5656

THE MODIFICATION OF THE BLUMGART TECHNIQUE IN PANCREATICOJEJUNOSTOMY ANASTOMOSIS AFTER CEPHALIC PANCREATICODUODENECTOMY

Văn Linh Hồ 1, Quốc Ái Đặng2,3,
1 Hue central hospital
2 HMU
3 E hospital

Main Article Content

Abstract

Background: The aim of this study is to research the modified Blumgart pancreaticoduodenectomy anastomosis procedure and complications following surgery and corresponding treatment strategies. Methods: From January 2012 to December 2022, 87 patients with pancreatic disease  were performed the modified Blumgart pancreaticoduodenectomy procedure after pancreaticoduodenectomy at Hue Central Hospital. Results: The mean age was 59.5 ± 11 (18 – 83) years, the male/female ratio was 2.1. Predominant symptoms included abdoninal pain (66.7%), jaundice (78.7%), weight loss (56.6%) and pruritus (58.5%). Hardened pancreatic texture was found in 11,3% whereas soft, non-fibrotic pancreatic texture accounted for the majority of cases (88.7%). We performed prophylactic external pancreatic duct drainage in 76% of cases. Mean blood transfusion volume was 571.9 ± 251.0 (350 – 1350) ml. Mean operative time was 280 ± 28.9 minutes. There were 32% of patients having post-operative complications, including pancreatic fistula (2,4%), haemorrhage (5.7%), transient acute pancreatitis (13.2%), delayed gastric emptying (7.5%) and bilioenteric anastomosis fistula (1.2%) and  post-operative mortality was 1.2%. Conlusions: Overall complications rate after pancreaticoduodenectomy with pancreaticojejunostomy was still high but the rates of pancreatic fistula and haemorrhage were low.

Article Details

Keywords

Pancreaticoduodenectomy, Blumgart

References

1. Wada K, Traverso W and Seattle (2006), "Pancreatic anastomotic leak after the Whipple procedure is reduced ussing the surgical microscope", Sugery. 139, pp. 735-742.
2. Malleo G, Crippa S and Butturini G (2010), "Delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy: validation of International Study Group of Pancreatic Surgery classification and analysis of risk factors", Hepato-Pancreato-Biliary Association. 12, pp. 610-618.
3. Lai EC and Lau SH (2009), "Measures to Prevent Pancreatic Fistula After Pancreatoduodenectomy", Arch Surg. 144(11), pp. 1074 - 1080.
4. Prasanth Penumadu & Savio G. Barreto & Mahesh Goel & Shailesh V. Shrikhande (2014), "Pancreatoduodenectomy - Preventing Complications", Indian J Surg Oncol. 6(1), pp. 6-15.
5. Aranha GV and Aaron JM (2006), "Critical Analysis of a Large Series of Pancreaticogastrostomy After Pancreaticoduodenectomy", Arch Surg 141, pp. 574 - 580.
6. Caronna R, Peparini N and Cosimo RC (2012), "Pancreaticojejuno Anastomosis after Pancreaticoduodenectomy: Brief Pathophysiological Considerations for a Rational Surgical Choice", International Journal of Surgical Oncology, pp. 1 - 5.
7. Pessaux P, Sauvanet A and Mariette C (2011), "External Pancreatic Duct Stent Decreases Pancreatic Fistula Rate After pancreticduodenectomy: Prospective Multicenter Randomized Trial", Annals of Surgery. 253, pp. 879-885.
8. Kim J.Y, Park J.S and Kim J.K (2013), "A model for predicting pancreatic leakage after pancreaticoduodenectomy based on the international study group of pancreatic surgery classification", Korean J hepatobilliary Pancreat Surg. 17, pp. 166-170.