Primary surgery or radiological intervention for bleeding due to vascular complication following pancreatitis

Abstract

Pancreatojejunostomy method was performed by two procedure (complete laparoscopically or mini-laparotomy). Results: Most common diseases included NET, papilla of Vater carcinoma (T1 or T2) and IPMN. The laparoscopic group (LG) was 18 patients. The mini-laparotomy group (MG) was 7 patients. The patient's back ground of two groups were similar (age, BMI and diameter of the pancreatic duct). The median procedure time of LG (76 min) was significantly longer than that of MG (46 min). Complication rates and POPF rates were similar with each groups. The median hospital stay of LG (13 days) was shorter than that of MG (32), but not significantly. Conclusions: Postoperative outcomes after laparoscopic pancreatoduodenectomy are unaffected by two different pancreatojejunostomy methods. The degree of difficulty of pancreatojejunostomy with mini-laparotomy depends on the shape of the body. The accumulation of further similar studies will be needed.