Abstract:Objective:To explore the efficacy of pancreatoduodenectomy complemented with side-to-side jejunojejunostomy for prevention of postoperative complications.
Methods:The clinical data of 97 cases undergong pancreatoduodenectomy in our hospital from 2002 to 2006 were retrospectively analyzed. Pancreatoduodenectomy complemented with side-to-side jejunojejunostomy was performed in 43 cases, and 54 cases underwent traditional reconstruction.
Results:In the cases with and without jejunojujunostomy, pancreatic fistula developed in 2 and 11 cases (χ2=5.097,P=0.024), bile leakage in 1 and 2 cases(χ2=0.000,P=1.000), pulmonary infection in 7 and 12 cases(χ2=0.537,P=0.464), abdominal infection in 6 and 12 cases(χ2=1.083,P=0.298), incision site infection in 3 and 8 cases(χ2=0.787,P=0.375), and upper gastrointestinal hemorrhage in 18 and 20 cases (χ2=0.234,P=0.629), respectively.
Conclusions:Pancreaticoduodenectomy complemented with side-to-side jejunojejunostomy can reduce the incidence of pancreatic fistula.