Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants

Klein, Fritz; Bahra, Marcus; Glanemann, Matthias; Faber, Wladimir; Warnick, Peter; Ανδρέου, Ανδρέας; Gül, Safak; Jacob, Dietmar

doi:10.1016/s1499-3872(11)60130-6

Cited by 7 publications

(16 citation statements)

References 28 publications

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“…Finally, 122 studies were included. Of those 122 studies, 110 studies 3, [13][14][15][17][18][19][20][21][22][111][112][113][114][115][116][117][118][119][120][121][122][123][124][125][126][127] were included in both qualitative synthesis and meta-analysis and 12 16,[128][129][130][131][132][133][134][135][136][137][138] only in the qualitative synthesis (eTable 2).…”

Section: Literature Search Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Eshmuminov

Schneider

Tschuor

et al. 2018

HPB

104

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Section: Literature Search Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Eshmuminov

Schneider

Tschuor

et al. 2018

HPB

104

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“…Most of the studies were conducted in Germany. [25][26][27][28]32,36,[46][47][48] The other studies were conducted in the USA, 17,20 France, 18,22,49 Italy, 21,43,45,51 Spain, 23,30 Brazil, 24 Belgium, 29,35 Egypt, 31,33 Canada, 34 Bulgaria, 37 China, 39,41 Sweden, 40 Japan, 19,42 India, 44 and Poland. 50 One study was multinational and was conducted at 17 international institutions in Canada, Italy, the USA, and the UK.…”

Section: Resultsmentioning

confidence: 99%

“…38 Out of the included studies, 13 were randomized controlled trials (RCTs), 17,19,[21][22][23][28][29][30]33,34,36,43,47 one was a case-control study, two were prospective nonrandomized trials, 18,44 two were observational studies, 26,50 and 17 were retrospective analyses of prospectively collected data. 20,24,25,27,31,32,35,[37][38][39][40][41][42]45,48,51 The included studies were published between 1995 and 2022 and presented data on 14,666 patients; 4547 underwent PG and 10,119 underwent PJ. The patients' mean or median age ranged from 53.3 to 68.1, and the male contribution ranged from 39.4% to 72.2%.…”

Section: Resultsmentioning

confidence: 99%

Postoperative pancreatic fistula after pancreaticogastrostomy versus pancreatojejunostomy after pancreatic resection, a comparative systematic review and meta‐analysis

Salman,

Elewa,

Elsherbiny

et al. 2024

World j. surg.

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BackgroundIn patients undergoing pancreaticoduodenectomy (PD), there has been some evidence favoring pancreaticogastrostomy (PG) over pancreatojejunostomy (PJ) in the occurrence of postoperative pancreatic fistulas (POPF) and considering PG as a safer anastomotic technique. However, other publications revealed comparable incidences of POPF attributed to both techniques. The current work attempts to reach a more consolidated conclusion about such an issue.MethodsThis is a systematic review and meta‐analysis that analyzed the studies comparing PG and PJ during PD in terms of the rate of POPF occurrence. Studies were obtained by searching the Scopus, PubMed Central, and Cochrane Central Register of Controlled Trials databases.Results35 articles published between 1995 and 2022 presented data from 14,666 patients; 4547 underwent PG and 10,119 underwent PJ. Statistically significant lower rates of POPF (p = 0.044) and clinically relevant CR‐POPF (p = 0.043) were shown in the PG group. The post‐pancreatectomy hemorrhage (PPH) was significantly higher in the PG group, while no significant difference was found between the two groups in the clinically significant PPH. No statistically significant differences were found regarding the amount of intraoperative blood loss, length of hospital stay, DGE, overall morbidity rates, reoperation rates, or mortality rates. The percentage of male sex in the PG group and the percentage of soft pancreas in the PJ group seem to influence the odds ratio of CR‐POPF (p = 0.076 and 0.074, respectively).ConclusionThe present study emphasizes the superiority of PG over PJ regarding CR‐POPF rates. Higher rates of postoperative hemorrhage were associated with PG. Yet, the clinically significant hemorrhage rate was comparable between the two groups.

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“…Historically, the use of cholecystojejunostomy for biliary enteric anastomosis has not been advocated because of the fear of the development of gallbladder stones questioning its long term patency. 11 Cholecystojejunostomy is contraindicated in the presence of gallstones and cholecystitis. In this series, none of the patients had gallstone disease, thus this type of reconstruction was feasible.…”

Section: Discussionmentioning

confidence: 99%

Pancreaticoduodenectomy For Complex Pancreaticoduodenal Trauma: A Case Series

Guzman,

Delos Santos,

Garrido

et al. 2017

Philipp J Surg Spec

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Introduction: Pancreaticoduodenectomy (Whipple’s) procedure is indicated for complex pancreatic injuries, with immediate reconstruction for stable patients and delayed reconstruction for unstable patients. This study aimed to review the authors’ experience with trauma related Whipple’s procedure at the East Avenue Medical Center (EAMC). Methods: This study reviews cases where Whipple’s procedure was performed from 2011 to 2015 at EAMC. Data collected included age, gender, mechanism of injury, presentation, patient Injury Severity Score (ISS), time interval between injury to presentation, associated injury, surgical procedure, time and type of surgical reconstruction after resection complications and 30-day mortality. Results: During the 5-year period, 4 patients underwent Whipple’s. All patients were male, mean age of 33.25 (range 29-48). Penetrating gunshot trauma was the predominant mechanism of injury (75% of cases) whereas peritonitis was the most common presentation (75% of cases). Mean ISS score is 29.5 (range 25-37). Among them, 2 underwent initial resection with delayed reconstruction and the other 2 underwent immediate reconstruction. Pancreaticojejunostomy was done for all pancreatic reconstruction. Cholecystojejunostomy (75%) and Choledochojejunostomy (25%) for biliary enteric conduit. Complications included pancreatic leak (50%), sepsis (25%) and pneumonia (25%). Overall, 30-day mortality rate was 25%. Pancreatic leak was noted on all patients without stent placed on the pancreatic anastomosis. Conclusion: Use of stents in pancreatic anastomosis in Whipple’s for trauma may lessen the pancreatic leak rates, further studies are needed to prove this. Cholecystojejunostomy can be an option for biliary enteric continuity, but further studies are needed to identify long term patency rates. Key words: Pancreaticoduodenectomy, pancreatic leak, pancreatic injury

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Matched-pair analysis of postoperative morbidity and mortality for pancreaticogastrostomy and pancreaticojejunostomy using mattress sutures in soft pancreatic tissue remnants

Cited by 7 publications

References 28 publications

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture

Postoperative pancreatic fistula after pancreaticogastrostomy versus pancreatojejunostomy after pancreatic resection, a comparative systematic review and meta‐analysis

Pancreaticoduodenectomy For Complex Pancreaticoduodenal Trauma: A Case Series

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