Application of "double-U" three-step pancreaticojejunostomy in robotic pancreaticoduodenectomy

doi:10.3877/cma.j.issn.1674-3946.2020.04.016

Abstract

Abstract:

Objective

To explore the feasibility of "double-U" three-step pancreaticojejunostomy (PJ) in robot pancreaticoduodenectomy (RPD).

Methods

The clincal data of 28 patients who underwent RPD from June 2017 to June 2019 were analyzed retrospectively, and the intraoperative conditions and postoperative complications were analyzed.

Results

All of 28 patients received successful operation. The anastomosis time of "double-U" three-step method ranged from 17 to 35 min, with an average of 23.5 min. The intraoperative blood loss ranged from 50 to 600 ml, with an average of 178.3 ml. Postoperative complications occurred in 5 patients, of which 3 (8.6%) had postoperative pancreatic fistula(POPF) with grade B, which were cured after inhibition of pancreatic juice secretion, prolongation of abdominal drainage time and nutritional support treatment. Two patients developed delayed gastric emptying and were discharged after conservative treatment. The average postoperative hospital stay was 13.9 days (3~63 days), and there was no death during hospitalization.

Conclusion

The "double-U" three-step PJ method is easy to operate, convenient for learning, safe and reliable for ensuring anastomosis quality, with faster recovery and potential wider clinical application. It has certain advantages in reducing complications such as POPF.

Key words: Pancreaticoduodenectomy, Robotics, Pancreatic fistula, "Double-U" three-step method, Pancreaticojejunostomy

Hongyin Zhu, Tianyu Huo, Wangping Cui, Xinning Zhang, Ye Dong, Zhigang Wei. Application of "double-U" three-step pancreaticojejunostomy in robotic pancreaticoduodenectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(04): 374-377.

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References 14

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