ISSN: 1859 - 2872
Evaluation of the early results of pancreatoduodenectomy with application of modified Blumgart anastomosis
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Abstract
Objective: To describe the technical characteristics of modified Blumgart pancreaticoduodenectomy anastomosis procedure and evaluate the early results of pancreaticoduodenectomy using the modified Blumgart anastomosis for pancreaticojejunostomy. Subject and method: A prospective, descriptive study on patients who were performed the modified Blumgart pancreaticoduodenectomy procedure after pancreaticoduodenectomy from January 2023 to January 2024. Result: 66 cases with the average age was 58.6 ± 11.5 years. Malignancy in the area around the ampullary was the main cause, accounted for 78.8%, jaundice was the most common symptom (80.9%). The number of sutures in duct-to-mucosa anastomosis was mainly 8 (90.9%); soft pancreatic texture was 68.2% and hard pancreatic texture was 31.8%; Dilated pancreatic duct (> 3mm) was 53.0%, 100% using scapel; mainly using the internal stenting of the main pancreatic duct was 56.1%. The average operative time was 234.4 ± 47.3 minutes (160-420 minutes), average postoperative hospital stay was 13.5 ± 6.6 days (7-38 days), postoperative mortality recorded 2 cases (3.0%). Major complications included: Pancreatic fistula levels B and C (7.6%), post-pancreatectomy hemorrhage and surgical site infection (7.6%), and delayed gastic emptying (6.1%). Conclusion: The technique of modified Blumgart pancreaticoduodenectomy anastomosis procedure is easy, safe and effective. Reducing the rate of grade B/C pancreatic fistula and other
post-operative complications, thereby reducing in-hospital stay.
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