Continuous suture of the pancreatic stump and Braun enteroenterostomy in pancreaticoduodenectomy

摘要: AIM: To investigate a new modification of pancreaticoduodenectomy (PD)-a mesh-like running suturing the pancreatic remnant and Braun’s enteroenterostomy. METHODS: Two hundred three patients underwent PD from 2009 to 2014 were classified into two groups: Group A (98 patients), who received with for remnant, enteroenterostomy; B (105 standard PD. Demographic data, intraoperative findings, postoperative morbidity perioperative mortality between groups compared by univariate multivariate analysis. RESULTS: characteristics comparable. There no significant differences concerning mortality, operative blood loss, as well incidence morbidity, including reoperation, bile leakage, intra-abdominal fluid collection or infection, bleeding. Clinically relevant fistula (POPF) delayed gastric emptying (DGE) identified more frequently in than A. Technique (PD enteroenterostomy) was independently associated decreased clinically POPF DGE, an odds ratio 0.266 (95%CI: 0.109-0.654, P = 0.004) 0.073 0.010-0.578, 0.013) DGE. CONCLUSION: An additional enteroenterostomy during decreases complications is beneficial patients.