tailieunhanh - Báo cáo khoa học: "Alternative reconstruction after pancreaticoduodenectomy"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Alternative reconstruction after pancreaticoduodenectomy | BioMed Central World Journal of Surgical Oncology Technical innovations Open Access Alternative reconstruction after pancreaticoduodenectomy Michael G Wayne Irving A Jorge and Avram M Cooperman Address Department of Pancreatic and Biliary Surgery of New York Cabrini Medical Center New York NY USA Email Michael G Wayne - waynedocny@ Irving A Jorge - irvingjorge@ Avram M Cooperman - ijorgemd@ Corresponding author Published 28 January 2008 Received 3 July 2007 World Journal of Surgical Oncology 2008 6 9 doi 1477-7819-6-9 Accepted 28 January 2008 This article is available from http content 6 1 9 2008 Wayne et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Pancreaticoduodenectomy is the procedure of choice for tumors of the head of the pancreas and periampulla. Despite advances in surgical technique and postoperative care the procedure continues to carry a high morbidity rate. One of the most common morbidities is delayed gastric emptying with rates of l5 -40 . Following two prolonged cases of delayed gastric emptying we altered our reconstruction to avoid this complication altogether. Subsequently our patients underwent a classic pancreaticoduodenectomy with an undivided Roux-en-Y technique for reconstruction. Methods We reviewed the charts of our last l 3 Whipple procedures evaluating them for complications specifically delayed gastric emptying. We compared the outcomes of those patients to a control group of 15 patients who underwent the Whipple procedure with standard reconstruction. Results No instances of delayed gastric emptying occurred in patients who underwent an undivided Roux-en-Y technique for reconstruction. There was l wound infection 8 l .