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Stapled gastro/duodenojejunostomy shortens reconstruction time during pylorus-preserving pancreaticoduodenectomy Sato N; Yabuki K; Kohi S; Mori Y; Minagawa N; Tamura T; Higure A; Yamaguchi KWorld J Gastroenterol 2013[Dec]; 19 (48): 9399-404AIM: To investigate whether a stapled technique is superior to the conventional hand-sewn technique for gastro/duodenojejunostomy during pylorus-preserving pancreaticoduodenectomy (PpPD). METHODS: In October 2010, we introduced a mechanical anastomotic technique of gastro- or duodenojejunostomy using staplers during PpPD. We compared clinical outcomes between 19 patients who underwent PpPD with a stapled gastro/duodenojejunostomy (stapled anastomosis group) and 19 patients who underwent PpPD with a conventional hand-sewn duodenojejunostomy (hand-sewn anastomosis group). RESULTS: The time required for reconstruction was significantly shorter in the stapled anastomosis group than in the hand-sewn anastomosis group (186.0 +/- 29.4 min vs 219.7 +/- 50.0 min, P = 0.02). In addition, intraoperative blood loss was significantly less (391.0 +/- 212.0 mL vs 647.1 +/- 482.1 mL, P = 0.03) and the time to oral intake was significantly shorter (5.4 +/- 1.7 d vs 11.3 +/- 7.9 d, P = 0.002) in the stapled anastomosis group than in the hand-sewn anastomosis group. There were no differences in the incidences of delayed gastric emptying and other postoperative complications between the groups. CONCLUSION: These results suggest that stapled gastro/duodenojejunostomy shortens reconstruction time during PpPD without affecting the incidence of delayed gastric emptying.|*Duodenostomy/adverse effects[MESH]|*Gastric Bypass/adverse effects[MESH]|*Operative Time[MESH]|*Surgical Stapling/adverse effects[MESH]|*Suture Techniques/adverse effects[MESH]|Aged[MESH]|Blood Loss, Surgical/prevention & control[MESH]|Female[MESH]|Gastroparesis/etiology[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Pancreaticoduodenectomy/adverse effects/*methods[MESH]|Recovery of Function[MESH]|Retrospective Studies[MESH]|Time Factors[MESH]|Treatment Outcome[MESH] |
