Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy
This study is to evaluate the perioperative outcomes of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD). In this study, as noted between 2010 and 2018, there were 77 PPPDs which were performed at our hospital by one surgeon. We began the circular stapled me...
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| Veröffentlicht in: | Annals of hepato-biliary-pancreatic surgery 2019-08, Vol.23 (3), p.245-251 |
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| creator | Kim, Dong-Hwan Hong, Soon-Chan Jang, Jae-Yool Cho, Jin-Kyu Ju, Young-Tae Lee, Young-Joon Jung, Eun-Jung Jeong, Sang-Ho Park, Tae-Jin Kim, Ju-Yeon Kwag, Seung-Jin Park, Ji-Ho Jeong, Chi-Young |
| description | This study is to evaluate the perioperative outcomes of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD).
In this study, as noted between 2010 and 2018, there were 77 PPPDs which were performed at our hospital by one surgeon. We began the circular stapled method from 2014, and continue with this procedure for the aforementioned surgeries including and up to today. The clinical data for the study were collected retrospectively to compare clinical outcomes of the two methods, the circular stapled anastomosis and the hand - sewn anastomosis.
There were 34 patients in a circular stapled group, and 43 in a hand-sewn group as identified for this study. The delayed gastric emptying (DGE) occurred in 6 (17.64%) patients in the circular stapled group, and 10 (23.3%) in the hand-sewn group (
=0.547). It is noted that there was a serum albumin level measured on the 14th day after the operation, which was significantly high in the circular stapled group (3.41±0.47 (g/dl) vs 2.92±0.39 (g/dl), |
| doi_str_mv | 10.14701/ahbps.2019.23.3.245 |
| format | Article |
| fullrecord | <record><control><sourceid>nurimedia_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6728254</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><nurid>NODE08765311</nurid><sourcerecordid>NODE08765311</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3535-9b3d95d962b0a802629f75e3fd338ab65dd7cd173055fd93a4370220aaf1f4573</originalsourceid><addsrcrecordid>eNpVkc1u1DAUhSMEolXpGyDkDRKbBP_EsbNBQkP5kSq6gbXlsW9mMkrs4BtPNU_C65LptCO6ur463znX0imKt4xWrFaUfbTb9YQVp6ytuKhExWv5orjkkupSatm-fHorpS-Ka8QdpZRp2tSNfF1cCCaXjYnL4u8qjpNNfdiQeQsEc9r0zg4k5tnFEZDEjuBspwE8scHiHMeIPZI9JMxItjb4EuE-PBMXj8_RQ4g72OUQj8KB9IFMhyGmjOWUACHtj1cnG1wCO_cunjzgjvSb4lVnB4Trx3lV_P5682v1vby9-_Zj9fm2dEIKWbZr4Vvp24avqdWUN7ztlATReSG0XTfSe-U8U4JK2flW2Fooyjm1tmNdLZW4Kj6dcqe8HsE7CHOyg5lSP9p0MNH25rkS-q3ZxL1pFNdc1kvAh8eAFP9kwNmMPToYBhsgZjSca01pQ1WzoPUJdSkiJujOZxg1D7Wah1rNsVbDhRFmqXWxvfv_i2fTU4kL8P4EhLxI4Ht7Zn7efbmhWjVSMCb-AX8Csks</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2288006076</pqid></control><display><type>article</type><title>Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy</title><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Kim, Dong-Hwan ; Hong, Soon-Chan ; Jang, Jae-Yool ; Cho, Jin-Kyu ; Ju, Young-Tae ; Lee, Young-Joon ; Jung, Eun-Jung ; Jeong, Sang-Ho ; Park, Tae-Jin ; Kim, Ju-Yeon ; Kwag, Seung-Jin ; Park, Ji-Ho ; Jeong, Chi-Young</creator><creatorcontrib>Kim, Dong-Hwan ; Hong, Soon-Chan ; Jang, Jae-Yool ; Cho, Jin-Kyu ; Ju, Young-Tae ; Lee, Young-Joon ; Jung, Eun-Jung ; Jeong, Sang-Ho ; Park, Tae-Jin ; Kim, Ju-Yeon ; Kwag, Seung-Jin ; Park, Ji-Ho ; Jeong, Chi-Young</creatorcontrib><description>This study is to evaluate the perioperative outcomes of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD).
In this study, as noted between 2010 and 2018, there were 77 PPPDs which were performed at our hospital by one surgeon. We began the circular stapled method from 2014, and continue with this procedure for the aforementioned surgeries including and up to today. The clinical data for the study were collected retrospectively to compare clinical outcomes of the two methods, the circular stapled anastomosis and the hand - sewn anastomosis.
There were 34 patients in a circular stapled group, and 43 in a hand-sewn group as identified for this study. The delayed gastric emptying (DGE) occurred in 6 (17.64%) patients in the circular stapled group, and 10 (23.3%) in the hand-sewn group (
=0.547). It is noted that there was a serum albumin level measured on the 14th day after the operation, which was significantly high in the circular stapled group (3.41±0.47 (g/dl) vs 2.92±0.39 (g/dl),
<0.001). There were no significant differences in terms of the incidence of postoperative complications (58.8% vs 58.1%,
=0.952) and mortality rates (5.9% vs 0,
=0.192) among the patient participants in this study.
We conclude that using a circular stapler for the DJ procedure in PPPDs do not increase the development of a DGE, and is also helpful for the benefit of the patient's nutritional status going forward during recovery from the operation.</description><identifier>ISSN: 2508-5778</identifier><identifier>EISSN: 2508-5859</identifier><identifier>DOI: 10.14701/ahbps.2019.23.3.245</identifier><identifier>PMID: 31501813</identifier><language>eng</language><publisher>Korea (South): 한국간담췌외과학회</publisher><subject>Original</subject><ispartof>Annals of hepato-biliary-pancreatic surgery, 2019-08, Vol.23 (3), p.245-251</ispartof><rights>Copyright © 2019 by The Korean Association of Hepato-Biliary-Pancreatic Surgery 2019 The Korean Association of Hepato-Biliary-Pancreatic Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-9b3d95d962b0a802629f75e3fd338ab65dd7cd173055fd93a4370220aaf1f4573</citedby><cites>FETCH-LOGICAL-c3535-9b3d95d962b0a802629f75e3fd338ab65dd7cd173055fd93a4370220aaf1f4573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728254/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728254/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31501813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Dong-Hwan</creatorcontrib><creatorcontrib>Hong, Soon-Chan</creatorcontrib><creatorcontrib>Jang, Jae-Yool</creatorcontrib><creatorcontrib>Cho, Jin-Kyu</creatorcontrib><creatorcontrib>Ju, Young-Tae</creatorcontrib><creatorcontrib>Lee, Young-Joon</creatorcontrib><creatorcontrib>Jung, Eun-Jung</creatorcontrib><creatorcontrib>Jeong, Sang-Ho</creatorcontrib><creatorcontrib>Park, Tae-Jin</creatorcontrib><creatorcontrib>Kim, Ju-Yeon</creatorcontrib><creatorcontrib>Kwag, Seung-Jin</creatorcontrib><creatorcontrib>Park, Ji-Ho</creatorcontrib><creatorcontrib>Jeong, Chi-Young</creatorcontrib><title>Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy</title><title>Annals of hepato-biliary-pancreatic surgery</title><addtitle>Ann Hepatobiliary Pancreat Surg</addtitle><description>This study is to evaluate the perioperative outcomes of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD).
In this study, as noted between 2010 and 2018, there were 77 PPPDs which were performed at our hospital by one surgeon. We began the circular stapled method from 2014, and continue with this procedure for the aforementioned surgeries including and up to today. The clinical data for the study were collected retrospectively to compare clinical outcomes of the two methods, the circular stapled anastomosis and the hand - sewn anastomosis.
There were 34 patients in a circular stapled group, and 43 in a hand-sewn group as identified for this study. The delayed gastric emptying (DGE) occurred in 6 (17.64%) patients in the circular stapled group, and 10 (23.3%) in the hand-sewn group (
=0.547). It is noted that there was a serum albumin level measured on the 14th day after the operation, which was significantly high in the circular stapled group (3.41±0.47 (g/dl) vs 2.92±0.39 (g/dl),
<0.001). There were no significant differences in terms of the incidence of postoperative complications (58.8% vs 58.1%,
=0.952) and mortality rates (5.9% vs 0,
=0.192) among the patient participants in this study.
We conclude that using a circular stapler for the DJ procedure in PPPDs do not increase the development of a DGE, and is also helpful for the benefit of the patient's nutritional status going forward during recovery from the operation.</description><subject>Original</subject><issn>2508-5778</issn><issn>2508-5859</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpVkc1u1DAUhSMEolXpGyDkDRKbBP_EsbNBQkP5kSq6gbXlsW9mMkrs4BtPNU_C65LptCO6ur463znX0imKt4xWrFaUfbTb9YQVp6ytuKhExWv5orjkkupSatm-fHorpS-Ka8QdpZRp2tSNfF1cCCaXjYnL4u8qjpNNfdiQeQsEc9r0zg4k5tnFEZDEjuBspwE8scHiHMeIPZI9JMxItjb4EuE-PBMXj8_RQ4g72OUQj8KB9IFMhyGmjOWUACHtj1cnG1wCO_cunjzgjvSb4lVnB4Trx3lV_P5682v1vby9-_Zj9fm2dEIKWbZr4Vvp24avqdWUN7ztlATReSG0XTfSe-U8U4JK2flW2Fooyjm1tmNdLZW4Kj6dcqe8HsE7CHOyg5lSP9p0MNH25rkS-q3ZxL1pFNdc1kvAh8eAFP9kwNmMPToYBhsgZjSca01pQ1WzoPUJdSkiJujOZxg1D7Wah1rNsVbDhRFmqXWxvfv_i2fTU4kL8P4EhLxI4Ht7Zn7efbmhWjVSMCb-AX8Csks</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Kim, Dong-Hwan</creator><creator>Hong, Soon-Chan</creator><creator>Jang, Jae-Yool</creator><creator>Cho, Jin-Kyu</creator><creator>Ju, Young-Tae</creator><creator>Lee, Young-Joon</creator><creator>Jung, Eun-Jung</creator><creator>Jeong, Sang-Ho</creator><creator>Park, Tae-Jin</creator><creator>Kim, Ju-Yeon</creator><creator>Kwag, Seung-Jin</creator><creator>Park, Ji-Ho</creator><creator>Jeong, Chi-Young</creator><general>한국간담췌외과학회</general><general>Korean Association of Hepato-Biliary-Pancreatic Surgery</general><scope>DBRKI</scope><scope>TDB</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy</title><author>Kim, Dong-Hwan ; Hong, Soon-Chan ; Jang, Jae-Yool ; Cho, Jin-Kyu ; Ju, Young-Tae ; Lee, Young-Joon ; Jung, Eun-Jung ; Jeong, Sang-Ho ; Park, Tae-Jin ; Kim, Ju-Yeon ; Kwag, Seung-Jin ; Park, Ji-Ho ; Jeong, Chi-Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-9b3d95d962b0a802629f75e3fd338ab65dd7cd173055fd93a4370220aaf1f4573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Kim, Dong-Hwan</creatorcontrib><creatorcontrib>Hong, Soon-Chan</creatorcontrib><creatorcontrib>Jang, Jae-Yool</creatorcontrib><creatorcontrib>Cho, Jin-Kyu</creatorcontrib><creatorcontrib>Ju, Young-Tae</creatorcontrib><creatorcontrib>Lee, Young-Joon</creatorcontrib><creatorcontrib>Jung, Eun-Jung</creatorcontrib><creatorcontrib>Jeong, Sang-Ho</creatorcontrib><creatorcontrib>Park, Tae-Jin</creatorcontrib><creatorcontrib>Kim, Ju-Yeon</creatorcontrib><creatorcontrib>Kwag, Seung-Jin</creatorcontrib><creatorcontrib>Park, Ji-Ho</creatorcontrib><creatorcontrib>Jeong, Chi-Young</creatorcontrib><collection>DBPIA - 디비피아</collection><collection>DBPIA</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of hepato-biliary-pancreatic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Dong-Hwan</au><au>Hong, Soon-Chan</au><au>Jang, Jae-Yool</au><au>Cho, Jin-Kyu</au><au>Ju, Young-Tae</au><au>Lee, Young-Joon</au><au>Jung, Eun-Jung</au><au>Jeong, Sang-Ho</au><au>Park, Tae-Jin</au><au>Kim, Ju-Yeon</au><au>Kwag, Seung-Jin</au><au>Park, Ji-Ho</au><au>Jeong, Chi-Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy</atitle><jtitle>Annals of hepato-biliary-pancreatic surgery</jtitle><addtitle>Ann Hepatobiliary Pancreat Surg</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>23</volume><issue>3</issue><spage>245</spage><epage>251</epage><pages>245-251</pages><issn>2508-5778</issn><eissn>2508-5859</eissn><abstract>This study is to evaluate the perioperative outcomes of the duodenojejunostomy (DJ) procedure in pylorus preserving pancreaticoduodenectomy (PPPD).
In this study, as noted between 2010 and 2018, there were 77 PPPDs which were performed at our hospital by one surgeon. We began the circular stapled method from 2014, and continue with this procedure for the aforementioned surgeries including and up to today. The clinical data for the study were collected retrospectively to compare clinical outcomes of the two methods, the circular stapled anastomosis and the hand - sewn anastomosis.
There were 34 patients in a circular stapled group, and 43 in a hand-sewn group as identified for this study. The delayed gastric emptying (DGE) occurred in 6 (17.64%) patients in the circular stapled group, and 10 (23.3%) in the hand-sewn group (
=0.547). It is noted that there was a serum albumin level measured on the 14th day after the operation, which was significantly high in the circular stapled group (3.41±0.47 (g/dl) vs 2.92±0.39 (g/dl),
<0.001). There were no significant differences in terms of the incidence of postoperative complications (58.8% vs 58.1%,
=0.952) and mortality rates (5.9% vs 0,
=0.192) among the patient participants in this study.
We conclude that using a circular stapler for the DJ procedure in PPPDs do not increase the development of a DGE, and is also helpful for the benefit of the patient's nutritional status going forward during recovery from the operation.</abstract><cop>Korea (South)</cop><pub>한국간담췌외과학회</pub><pmid>31501813</pmid><doi>10.14701/ahbps.2019.23.3.245</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Original |
| title | Comparing the surgical outcomes of stapled anastomosis versus hand-sewn anastomosis of duodenojejunostomy in pylorus-preserving pancreaticoduodenectomy |
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