Revista chilena de cirugía
versión On-line ISSN 0718-4026
LOSADA M, Héctor et al. Duct-to-mucosa pancreaticogastrostomy after pancreatoduodenectomy. Experience in 37 patients. Rev Chil Cir [online]. 2012, vol.64, n.3, pp. 257-263. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000300007.
Background: Pancreatic reconstruction in pancreatoduodenectomy (PD) has many technical options. Evidence shows no difference in pancreatic fistula rate or mortality between pancretogastrostomy and pancrea-ticojejunostomy reconstruction. Aim: To report the results of the technique used by our team to perform duct-to-mucosa pancreaticogastrostomy (DMPG) in PD. Material and Methods: Follow up of 37 patients aged 53 ± 12 years (59% women), subjected to pancreatoduodenectomy, using DMPG. Perioperative complications were reported using the Dindo-Clavien classification. Results: All patients had a pancreatic cancer. The tumor was located in the head or ampulla of Vater in 38% of patients. The most common histological type was adenocarcinoma in 33 patients (89%). Seventy three percent of patients did not have regional lymph node involvement (NO). Two patients died (5%). Postoperative complications were registered in 35% of patients. Two patients developed pancreatic fistulas, that were type A and B I one patient each, according to the classification of the International Study Group on Pancreatic Fistula. Conclusions: The morbidity and mortality associated with DMPG in PD in the reported cohort are comparable to those reported by other local studies.
Palabras llave : Pancreaticoduodenectomy; pancreatic cancer; pancreatogastrostomy.