Early complications of pancreaticojejunostomy or pancreaticogastrostomy after pylorus preserving pancreaticoduodenectomy

摘要: Objective To evaluate the early postoperative complications of pancreaticojejunostomy (PJ) or pancreaticogastrostomy (PG) following pylorus preserving pancreaticoduodenectomy (PPPD).Methods Clinical data 97 patients undergoing PPPD,in Zhongshan Hospital,Fudan University from June 2011 to October 2012,were retrospectively analyed.Digestive tract continuity was established respectively by PG(n-45) PJ(n =52) after PPPD.Results The demographic characteristics both group were not significantly different.In two groups,there statistically significant difference in those such as biliary fistula,introabdominal infection,bleeding,and rc-admission rate.The rate pancreatic fistula PJ higher than that PG (28.85％ vs.6.67％,P =0.033).However,in incidence delayed gastric emptying (22.22％ vs.5.77％,P =0.018),and average length stay longer (19.28 ± 11.04 vs.15.09 6.21 ; P =0.034).In group,one patient died and ensuing surgical site infection intra-abdominal hemorrhage,there no mortality group.Conclusions After PPPD,PG are safe ways digestive reconstruction.But compared PJ,PG can decreas but may increase risk emptying,and prolong hospital stay. Key words: Pancreaticoduodenectomy ;  Anastomosis, surgical;  Postoperative