Pancreatic Fistula
Conditions
Keywords
Cancer pancreas, Pancreaticoduodenectomy, Pancreaticogastrostomy
Brief summary
Post-operative pancreatic fistula after Pancreaticoduodenectomy procedure, is still a major complication that might be affected by pancreatic stump reconstruction technique. More than 60 techniques were published in literature. Soft pancreas and small pancreatic duct size were major risk factors for post-operative pancreatic fistula. Supporting Duct to Mucosa Pancreatico-Gastrostomy with trans-pancreatic transverse mattress U- Shaped sutures is a new and safe technique for decreasing the risk of post-operative pancreatic fistula in high-risk patients.
Detailed description
Post-operative pancreatic fistula after Pancreaticoduodenectomy procedure, is still a major complication that might be affected by pancreatic stump reconstruction technique. More than 60 techniques were published in literature. Soft pancreas and small pancreatic duct size were major risk factors for post-operative pancreatic fistula. Supporting Duct to Mucosa Pancreatico-Gastrostomy with trans-pancreatic transverse mattress U- Shaped sutures is a new and safe technique for decreasing the risk of post-operative pancreatic fistula in high-risk patients. The authors used this technique in pancreato-gastrostomy. Data were collected, tabulated and analyzed to evaluate the new technique and its impact on the incidence of post-operative pancreatic fistula.
Interventions
PROCEDUREDuct to Mucosa Pancreatico-Gastrostomy with trans-pancreatic transverse mattress U- Shaped sutures
Adding suporting sutures between th posterior gastric wall and ancreatic stump in whipple procedure, the sutures are Duct to Mucosa Pancreatico-Gastrostomy with trans-pancreatic transverse mattress U- Shaped sutures.
Sponsors
South Valley University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patient diagnosed with resectable cancer head pancreas. * Soft Pancreas. * Small pancreatic duct diameter.
Exclusion criteria
* Unresectable cancer pancreas. * Non soft pancreas. * Dilated pancreatic duct.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative Pancreatic Fistula | up to 5 days (from time of surgery to time of detection of post-operative pancreatic fistula) | Detection of chemical or clinical pancreatic fluid discharge after post-operative day 3. |
Countries
Egypt
Outcome results
None listed