Double omental flap reduced perianastomotic collections and relaparotomy rates after pancreaticoduodenectomy with pancreaticogastrostomy.
Fiche publication
Date publication
juillet 2012
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe
Tous les auteurs :
Rosso E, Lopez P, Roedlisch MN, Narita M, Oussoultzoglou E, Bachellier P
Lien Pubmed
Résumé
INTRODUCTION: In an attempt to reduce the perioperative morbidity after pancreaticoduodenectomy, the results of double omental flap (DOF) after pancreaticoduodenectomy (PD) with pancreaticogastrostomy (PG) were compared to a standard technique. METHODS: From January 2009 to December 2009, 61 patients underwent PD with PG for pancreatic adenocarcinoma in our department. Perioperative data were prospectively recorded, and postoperative outcome of patients who underwent or not a DOF (group DOF+ = 33 and group DOF- = 28, respectively) was analyzed. RESULTS: The overall postoperative mortality was 1.6 % (n = 1). The overall postoperative morbidity rate was 27.8 % (n = 17). PF occurred in eight (13.1 %) patients and was grade A in six (9.8 %) patients. Clinically relevant PF (grade B and C) occurred in two (3.2 %) patients. The univariate analysis showed that in the DOF+ groups there was a significant reduction of perianastomotic collections (P = 0.034) and a significant reduction of the relaparotomy rate (P = 0.05). DISCUSSION: The DOF contributed to reduce the rate of perianastomotic collections as well as the rate of relaparotomy. CONCLUSIONS: A DOF should be considered a further step toward a reduction of surgical-related complications after PD with PG.
Référence
World J Surg. 2012 Jul;36(7):1672-8.